The TSWF IBHC AIM form is to be used by Integrated Behavioral Health Consultants (IBHC) who see patients for brief and focused treatment in the Primary Care setting.

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IBHC Recent Changes

  • 2 changes for SEP-DEC 2018 update
  • Updated color scheme that is continuous with the family of TSWF forms.
  • ROS/PE structure updated in that a ROS/PE free text area was added to match those same areas found throughout the family of TSWF templates.


  • Aids in appropriate referrals
  • Provides guidance for treating behavioral health issues
  • Stresses integration of Consultant within the PCMH team

The IBHC form was developed to aid the Consultant in identifying and appropriately documenting behavioral health issues. The form assists the provider in triage and management of PCMH patients with behavioral health problems. Guidance is included to ensure appropriate and timely referrals where indicated.

Form Lead

Samuel P. Eng. M.D., M.S., FAAFP

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