This form is not a diagnostic instrument and is only to be used within the context of your medical treatment and by you if you are greater than 18 years old. Share your checklist responses and assessment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.

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For Clinicians

Evidence Based

M3 Clinician was validated in a 2009 study performed at the University of North Carolina, and published in the Annals of Family Medicine. It was shown to effectively screen for Depression, Bipolar Disorder and a range of Anxiety Disorders, including PTSD, using a single 27-item, patient-rated, evidence-based screen.

Clinical Decision Support at the Point of Care and Reimbursement for Screening (Via CPT 99420) and Monitoring Mental Health

M3 Clinician provides an individualized patient assessment geared toward early detection, co-morbid illness, and identifying people in distress irrespective of their particular diagnosis. Meanwhile, its dimensional subscores help to place patients on a clinical map, leading the clinician toward the appropriate diagnosis. M3 Clinician facilitates longitudinal monitoring and communication among the care team members in a medical home environment.


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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material. WhatsMyM3™ V.03.06 Copyright © 2002-2012 by M3 Information™, The M-3 Checklist and WhatsMyM3.com are free for personal home use. For any other uses, including clinical., educational, non-profit, hospital research, or for-profit settings please contact mail@m-3information.com. No further reproduction or distribution, or reverse engineering is permitted without written permission from M3 Information. Patent Pending.