1.     Printable template - 90792 - (revised 12/7/2017)

2.     Fill-in template - 90792 - (revised 12/7/2017)

3.     Instructions - 90792

4.     Printable template - 99204 or 99205 - (revised 12/7/2017)

5.     Fill-in Template -99204 or 99205 - (revised 12/7/2017)

6.     Instructions - 99204 or 99205

7.     Printable template - E/M Outpatient Counseling and Coordination of Care - (revised 12/7/2017)

8.     Fill-in template - E/M Outpatient Counseling and Coordination of Care - (revised 12/7/2017)

9.     Instructions - E/M Outpatient Counseling and Coordination of Care

10.   Printable template - E/M and Psychotherapy - (revised 12/7/2017)

11.   Fill-in template - E/M and Psychotherapy - (revised 12/7/2017)

12.   Instructions - E/M and Psychotherapy

13.   Printable template - 99358

14.   Fill-In template - 99358

15.   Instructions - 99358

16.   Printable template - 90846 or 90847

17.   Fill-In Template - 90846 or 90847

18.   Instructions - 90846 or 90847