• Adult ADHD Self-Report Scale (ASRS; self-report for adolescents and adults)
• Jerome Driving Questionnaire (for degree of driving impairment)
• Weiss Functional Impairment Rating Scale (self-reported version; parent-reported version; rating scale for degree of functional impairment)
• SNAP-IV-26 Teacher and Parent Rating Scale (rating scale for ADHD symptoms during childhood/adolescence for collateral sources to fill out)
• CADDRA Teacher Assessment Form
• CADDRA Educational Accommodation Letter Template
• CADDRA Employment Accommodation Letter Template

• Hamilton Anxiety Rating Scale (clinician reported for general anxiety)
• Beck Anxiety Inventory
• Zung Self-Rating Anxiety Scale
• GAD-7 (for general anxiety disorder)
• Liebowitz Social Anxiety Scale (for social anxiety disorder; scoring: total score 0-54 = mild social anxiety, 55-65 = moderate, 66-80 = marked, 81-95 = severe, 96-144 = very severe)
• PCL-5 (for PTSD)
• Y-BOSC (for OCD)
• HOMES Multi-disciplinary Hoarding Risk Assessment (for hoarding disorder)

• Adult Autism-Spectrum Quotient (cutoff score = 32)
• Ritvo Autism Asperger Diagnostic Scale-Revised (normative scores for neurotypical = 25.95 +/- 16.04 and for ASD = 133.83 +/- 37.7)

• AMA Fee Navigator
• Dr. Bill Alberta Health Billing Explanatory Codes (to explain billing code refusals)
• AB Health Feb 2024 Bulletin on How to Bill for Patients with Invalid AB PHNs

• Young Mania Rating Scale (for rating severity of manic episode)
• See “Depression” section below for MDE rating scales
• Mood Treatment Center Weekly Mood Tracking Chart (less cumbersome for patients)
• NIMH-LCM Daily Mood Chart (one month daily mood chart)
• Mood Disorder Questionnaire (screening tool for BD; not recommended as has poor sensitivity and specificity)

• Borderline Evaluation of Severity over Time (rating scale for BPD severity)
• TID Mood Diary (to track mood multiple times per day to help patient develop insight re mood and triggers)

• MoCA Test Website for access to the full range of MoCA versions. As of April 1, 2021, completion of their training and certification program (1 hr, private cost) will be required to access their tests, except for certain users including medical learners. You are able to sign a disclaimer form otherwise. The following MoCA versions are most helpful for clinical practice:
  • Full MoCA Version 1 (English)
  • Full MoCA Version 2 (English)
  • Full MoCA Version 3 (English)
  • MoCA Basic (if Grade 4 education or less)
  • MoCA Blind (also helpful for assessments over the phone)
• SLUMS (alternative to MoCA)
• MMSE
• RUDAS (for multicultural cognitive assessment)
• Frontal Assessment Battery

• To check QTc prolongation potential of meds: Credible Meds website

• To find updated list of outbreaks in Alberta: AHS Tableau Server

• Patient reported MDD severity scale
  • Top recommendation: PHQ-9 (9 questions; scoring = 5-9 (mild), 10-14 (moderate), 15-19 (moderately-severe), 20-27 (severe))
  • Beck’s Depression Inventory II (BDI II) (21 questions)
  • Zung Self-Rating Depression Scale (20 questions)
• Hamilton Rating Scale for Depression Version 1 or Version 2 (HAMD; clinician reported inpatient MDD severity scale; scoring = 0-7 (normal), 8-13 (mild), 14-18 (moderate), 19-22 (severe), >23 (very severe))
• Calgary Depression Scale (for screening MDE in primary psychotic disorders; positive score = 7+)
• Premenstrual Dysphoric Disorder Daily Record of Severity of Problems (PMDD screening tool)
• Edinburgh Postnatal Depression Scale (peripartum MDD screening tool)
• Geriatric Depression Scale (geriatric MDD screening tool)

How to access ketamine therapy in Calgary, AB

• As an inpatient (FMC psych admission and consulting anesthesia)
• Private clinics eg Wayfound Clinic (no IV ketamine yet as of Dec 2021)

• Eating Disorders Examination Questionnaire (EDE-Q; self-reported scale)
• Eating Disorders Examination Questionnaire Adolescent Version (self-reported scale for adolescents)
• AHS Community Paramedic Program (website)

• Calgary Lab Services General Bloodwork Requisition Form
  • To adjust existing bloodwork, call Calgary Lab Services Information at 403-770-3602
• Calgary Lab Services ECG Requisition Form
• Alberta Health Services EEG Requisition Form for adults (~6-8 mo wait time for routine EEG as of Dec 20, 2024)
• AHS CT/PET Requisition
• For MRI:
  • AHS MRI Requisition (can indicate level of urgency required; covered under public healthcare; ~6-8 mo wait time for routine MRI head)
  • Private MRI clinics (~$675 private cost)
    • Mayfair MRI Requisition Form
    • EFW Radiology MRI Requisition Form
• Alberta Precision Laboratory New Provider Set-Up webpage (for Delivery of reports during a Healthcare Provider Absence form, updating contact information via Healthcare Provider Information Form)

• Royal College Mainport Log-in Website
• YYC CBD Dashboard Website to visualize resident’s progress on EPAs

• Calgary Pharmacies Fax and Phone Directory
• 1st choice for comparing Alberta drug prices under different coverages: Study Buffalo Drug Price Calculator
  • 2nd choice: Alberta Works Drug Coverage Database
• Alberta Blue Cross list of special authorization request forms for drug coverage (website)
  • Generic Drug Special Authorization Request form (eg for varenicline)
  • AB Blue Cross LAI Special Authorization Request Form
• Medavie Blue Cross Special Authorization Forms
  • Medavie Blue Cross Health Professional Center webpage
• Takeda Vyvanse Assistance Program
• Invega Sustenna and Invega Trinza Patient Assistance Program (compassionate coverage for Invega and Risperdal Consta)
• Panorama Compassionate Coverage / Abilify Maintena Patient Assistance Program for Abilify Maintena
• GenCan Compassionate Coverage for Clozapine

• AHS Mental Health Act Page
• For individualized medicolegal clinical advice, contact one or more of the following
  1. CMPA
  2. AHS Health Law Team aka AHS Legal & Privacy Team (website 1 / website 2; legal.clinical@albertahealthservices.ca; 1-888-943-0904; hours Mon-Fri 0830-1615) for health law questions (i.e. questions pertaining directly to the provision of patient care such as informed consent, interpretation of the Mental Health Act, use of restraints, etc.)
     • or Health Professional Strategy & Practice (practice.consultation@ahs.ca) for urgent medicolegal clinical questions, questions about charting. Or contact your administrator on-call for urgent legal advice.
     • or Recovery Alberta Legal Team at RecoveryAB.Legal@recoveryalberta.ca for all other legal advice (eg labour and employment law, commercial law, litigation)  
  3. MHAandCTO.Enquiries@albertahealthservices.ca for non-urgent and general questions about the AB Mental Health Act
     • CalgaryZone.CTO@albertahealthservices.ca for questions about CTOs in Calgary
  4. AHS Clinical Ethics Consultation (website; clinicalethics@albertahealthservices.ca; 1-855-943-2821)
• Handouts to give to patients under the Mental Health Act:
  • If certified patient:
    • Written Statement of Certification and Acknowledgment of Notification / Patient Rights under the Mental Health Act
    • Formal Patient Information Sheet
  • Alberta Mental Health Act Form 12 for a patient to appeal their mental health certificates / CTO
  • Alberta Mental Health Patient Advocate information (brochure / phone (780) 422-1812 or 310-0000 / website; Mental Health Advocate Office offers information/support to a certified patient to support their understanding/anxiety of the review panel process and how to present information at the review panel, but does not replace the patient’s lawyer)
    • Mental Health Patient Advocate Request Form
  • Legal Aid Alberta (1-866-845-3425; website; can provide patient with duty counsel for their review panels)
• Alberta Mental Health Act Forms related to certifying an involuntary patient:
  • Form 1 and 2
    • AHS Form for Mental Health Act Admission and Renewal Form Completeness Review for Form 1 and 2s not completed on Connect Care
    • AHS Form for Competency to Make Treatment Decisions at Time of Admission/Renewal for Formal Patient under the Mental Health Act
    • AHS Treatment Plan for a Formal Patient
  • Form 2.1
  • Form 3. Instructions to Report/Cancel a Form 3 in Calgary, AB Part 1 / Part 2
  • Form 12. Any staff notified of upcoming Mental Health Review Panel hearing needs to contact AHS Access and Disclosure to initiate record request for patient.
• Resources/forms related to arranging involuntary psychiatric treatment:
  • Alberta Mental Health Act Forms 1 or 2 (patient must be certified as an inpatient to receive involuntary psychiatric treatment)
  • Regional Capacity Assessment Team (RCAT) for community capacity assessments outside your scope of practice for those 18+ yo (does not include psychoed testing eg to confirm IQ disability)
  • For psychological testing (eg psychoed testing to confirm IQ disability):
    • AHS Regional Psychological Assessment Service (RPAS) (requires patient to be connecting to existing mental health clinic)
    • CanLearn Society
    • Through public school system (if still in high school or below)
    • Private psychologist (expect private cost of $1-2K)
  • Alberta Mental Health Act Form 11 to deem a patient lacking capacity for psychiatric treatment
  • Application for Office of Public Guardian to become Substitute Decision Maker: “Referral for the Public Guardian to Act as Specific Decision Maker for an Adult”
  • AHS “Consent to Treatment/Procedure(s)” Insite Webpage
    • AHS consent forms or next of kin / agent for patient under Mental Health Act: AHS “Informed Consent Subject to the Mental Health Act” Form
    • AHS generic consent form: AHS “Consent to Treatment Plan or Procedure” Form
    • AHS 2 MD emergency treatment consent form: AHS “Emergency Health Care: Documentation of Exception to Consent” Form
• Forms related to CTO:
  • Alberta Mental Health Act Forms 19-25
  • Procedure for Submitting Form 23 in Calgary, AB
    • CTO Identification Report for Law Enforcement Form to Fax to Calgary Police
• Alberta Office of the Public Guardian and Trustee (OPGT) Forms
  • To enact a personal directive:
    • OPGT Form 4 (Capacity Assessment Report) AND
    • OPGT Schedule 2 (if personal directive requires 2 MDs to activate) OR OPGT Schedule 3 (if personal directive requires 1 MD + agent to activate)
    • OPGT Form 6 (Specific Decision Making)
  • One of the following to reverse an enacted personal directive:
    • OPGT Schedule 4 (if agent notices pt has regained capacity and MD agrees)
    • OPGT Schedule 5 (if MD notices pt has regained capacity and agent agrees)
    • OPGT Schedule 6 (if MD and agent disagree re if pt has regained capacity)
• To submit a complaint about a decision maker under OPGT

• PES Written Discharge Plan
• Refer to ERO vs PORT vs Wood’s Homes Acute@Home via Connect Care (paper referrals from ED to ERO@ahs.ca or acuteathome@ahs.ca no longer accepted; Acute @ Home website)
• See “Patient Handouts for Healthcare Professionals – Suicidal Ideation / Self-Harm” Section for safety plan template, safety proofing handout, and crisis and walk-in mental health brochure
• AHS Sharepoint Connect Care Tip Sheets for Psychiatry for Connect Care Tip Sheets on Psychiatry hospital admissions, transfers, orders, etc
• Jul 2025 Recovery Alberta Policy on Medical Capabilities of Inpatient Psychiatry Units
• NE Urgent Consultation Clinic (information sheet for healthcare professionals; referral form from ED; patient brochure to be given in ED)
• ED Treatment Plan Committee (edtreatmentplans.calgary@albertahealthservices.ca; website)

• Positive and Negative Syndrome Scale
• Barnes Akathisia Rating Scale
• Clozapine Registration for Clozaril Brand
• AAspire Website for AA-Clozapine Brand Patient Care Network

• The (Schwartz) Portrait Values Questionnaire (PVQ)
• Personal Values Assessment
• Human Values Test

• For Alberta:
  • For urgent/critical consultations: RAAPID
  • For outpatient consultations within 1 day Calgary Monday to Friday 8-5 PM: Specialist Link
  • Alberta Referral Directory website
• Subacute general mental health rehabilitation programs in Calgary, AB
  • Adult Day Hospital Program (patient brochure)
  • Geriatric Mental Health Rehabilitation and Recovery Unit in Carewest Glenmore Park (patient brochure)
• For private rTMS in Calgary, AB
  • Bloom rTMS in Calgary, AB (website; referral form)
  • ATMA CENA in Calgary, AB (website)

ADVERSE CLINICAL EVENTS UNDER ALBERTA HEALTH SERVICES

• Remember to notify the appropriate site managers if appropriate (eg MD site chief, nursing manager, etc)
• AHS RLS (Reporting and Learning System for Patient Safety) Webpage for reporting clinical adverse events for patients
• AHS Blood & Body Fluid Exposure Webpage if you have been exposed to blood and bodily fluids at work
  • Note: SCM has a order set for blood and body fluid exposures
  • AHS “Consent to Blood Testing for Blood Borne Viruses” Form (to evaluate infection exposure to another person eg healthcare professional exposed)
• AHS Communicable Disease Exposure Webpage if you have been exposed to communicable diseases at work
• AHS Report a Privacy Breach Webpage (online form) vs AHS Privacy Intake Line Webpage (for PDF form) if you have been involved in a privacy breech
• AHS MySafetyNet Insite Webpage for employee safety concerns
• AB Gov Office of the Chief Medical Examiner webpage to report unexplained/unexpected deaths
• For patient complaints in AHS, in the following order
  1. Connect patient with relevant manager(s)
  2. AHS Patient Relations (1-855-550-2555; patient.feedback@ahs.com; ahs.ca/patientfeedback; brochure)
  3. AHS Patient Concerns Officer
  4. Alberta Ombudsman
• For patient request of their medical records in AHS: AHS Access & Disclosure

ANIMAL WELFARE CONCERNS IN ALBERTA

• To report suspected animal abuse/neglect (permission, not duty, to report): call SPCA (Alberta Society for the Prevention of Cruelty to Animals) Animal Protection Line (403-205-4455 for Calgary, 311 for Edmonton, or 1-800-455-9003 for outside of Calgary/Edmonton; Animal Protection website)

HOMICIDAL IDEATION

• Calgary Police non-emergency line: 403-266-1234 (for duty to warn for victims within Calgary)
• RCMP non-emergency contact directory website for Alberta (for duty to warn for victims outside of Calgary)
• Canadian Firearms Program Public Safety Concern Line: 1-800-731-4000 ext 9001 (non-urgent alternative to contacting CPS/RCMP for gun safety concerns; open Mon-Fri 9-5 PM; will be asked to share patient name, DOB, address, presence of mental illness, whether they are treated or not, risk of harm to self/others; confidential)

MAiD

• For referral to MAiD services in Calgary, AB: email maid.calgary@ahs.ca
• If performing MAiD: CPSA MAiD Protocol (requires login to CPSA Physician Portal –> under “Additional Resources” tab)

UNLIVABLE LIVING CONDITIONS

• To notify AHS Environmental Public Health for public health inspector about unlivable living conditions: call 403-943-2288 to file initial report or submit online form (email SafeHealthyEnvironments@ahs.ca for questions; remember to include patient’s name and address and name of who owns the property)

• Epworth Sleepiness Scale (excessive daytime sedation severity scale)
• Fatigue Severity Scale
• Insomnia Severity Index
• Sleep Disorders Questionnaire (general screening questionnaire for various sleep disorders)
• RGH Sleep and Wake Clinic (psychiatry consultation available; website)

• Alberta Substance Use Surveillance System

For alcohol use disorder

• To assess severity of alcohol withdrawal: Clinical Institute Withdrawal Assessment for Alcohol – Revised (CIWA)
• To assess for clinical sobriety: Hack’s Impairment Index

For opioid use disorder

• Morphine Milligram Equivalent (MME) Calculator (MDCalc Version; UptoDate Version)
• Clinical Opiate Withdrawal Scale
• ED/Urgent Care Referral Form to Calgary Opioid Dependency Clinics
  • Calgary Opioid Dependency Treatment Clinic Referral List