Resource center
Intake

Where intake stops and the EHR starts

A boundary map for behavioral health intake teams: what belongs in the referral system vs. the clinical record.

The boundary matters

Most intake teams either over-collect (they end up as a shadow EHR) or under-collect (they hand a nearly empty record to the clinician). Neither ages well.

What belongs in intake

  • Contact information and consent to contact.
  • Insurance identification and eligibility confirmation.
  • Referral source and reason (free text, minimum-necessary).
  • Program interest and geography.
  • Signed ROIs for prior treating providers.

What does NOT belong in intake

  • Diagnosis codes.
  • Clinical notes.
  • Treatment history detail.
  • Billing artifacts.

All of that belongs in the EHR, after the human qualification call. This isn’t squeamishness - it’s minimum necessary under HIPAA and, in SUD settings, 42 CFR Part 2.

Handoff should be a moment, not a merge

ClinicWarden Module D treats the handoff to the EHR as a discrete event: qualification confirmed by a person, required checklist done, a client record created with an ehr_ref, and the intake case marked handed_off. Nothing clinical stays in the intake module.

Related tool: Compliance Calendar Generator
Once handed off, the client is on the deadline clock. See the schedule.
Open free tool