Mental health treatment plan review template	
MBS item number:   ☐ 2712    	
Date for review with a GP (dd/mm/yyyy)
(Initial review four weeks to six months after completion of the plan)

Assessment/outcome tool results on review (except where clinically inappropriate or culturally unsafe)
		
Comments: Review of patient’s progress against goals; checking, reinforcing and expanding education; modification of treatment plan (if required); any changes in medication; and any recent significant stressors or lifestyle changes
		
Risk assessment: Note any identified risks, including risks of self-harm, risk of suicide and harm to others.

Also consider risk of:
•	Domestic family violence
•	Intimate partner abuse/violence		
Plan for crisis intervention and/or for relapse prevention, if appropriate and if not previously provided