An official website of the United States government

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

SAMHSA SOAR

Sample Medical Summary Reports

We’ve gathered examples of well-written, successful Medical Summary Reports (MSRs) from SOAR providers across the country for the SOAR community to use as extra guidance.

Sample MSRs

 - THESE SAMPLES ARE PROVIDED FOR INFORMATIONAL USE ONLY AND NOT TO BE USED FOR THE SOAR ONLINE COURSE PRACTICE CASE. - 

The following MSRs are grouped to highlight specific conditions or circumstances. For all samples, the applicant, case worker, and physician’s identifying information, as well as locations have been changed.*

Active Substance Use

Sample including active substance use (PDF)

Anxiety and obsessive-compulsive disorders

Depressive, bipolar, and related disorders

Schizophrenia spectrum and other psychotic disorders

Personality and impulse-control disorders

Neurodevelopmental disorders

Trauma- and stressor-related disorders

Reapplication for benefits after incarceration

 
*The SOAR TA Center would like to thank the following SOAR providers for their generosity and time in providing these sample MSRs for the SOAR community: Ashley Blum, Emily Carmody, Kascadare Causeya, Margaret Flanagan, Nick Lemmon, and Michelle Levy.

Details

Type:
Article
Date:
January, 2017

Other Details

Topic
Medical Summary Report (MSR)

Explore Related Resources