Stop building your CBT-I intake from scratch.
This done-for-you assessment system gives licensed clinicians everything needed to conduct a thorough pre-treatment assessment, conceptualize the client’s insomnia using the CBT-I model, plan treatment, track progress and document clinical outcomes at discharge.
What’s included:
9-part Sleep History Intake Form covering presenting concerns, sleep habits, cognitions, lifestyle, medical and psychiatric history and client goals
Validated Measures Reference Guide with scoring interpretation for ISI, PSQI, ESS, FSS and STOP, with links to official versions
Insomnia Disorder Diagnostic Criteria & ICD-10-CM Billing Code Reference
Pre-Treatment Sleep Profile Summary. Your documented clinical baseline in one page
Sleep Log (clinician guide and client ready handout)
CBT-I Case Conceptualization Worksheet using the 3P model
Candidacy and Readiness Checklist (Proceed, Modify, Refer or Defer)
Sleep Prescription Calculator with weekly titration log
Quick Reference Card (everything at a glance, designed to keep track at your desk)
Discharge and Outcome Tracking Sheet
This packet is best suited for clinicians who:
Have completed or are completing foundational CBT-I training
Are working with adult clients presenting with chronic insomnia disorder
Want to standardize and strengthen their CBT-I intake process
Deliver CBT-I in outpatient, telehealth or in-person, or sleep medicine/medical clinic settings
For licensed clinical use only. Not for redistribution. Upon purchase you will receive an immediate digital download.
Stop building your CBT-I intake from scratch.
This done-for-you assessment system gives licensed clinicians everything needed to conduct a thorough pre-treatment assessment, conceptualize the client’s insomnia using the CBT-I model, plan treatment, track progress and document clinical outcomes at discharge.
What’s included:
9-part Sleep History Intake Form covering presenting concerns, sleep habits, cognitions, lifestyle, medical and psychiatric history and client goals
Validated Measures Reference Guide with scoring interpretation for ISI, PSQI, ESS, FSS and STOP, with links to official versions
Insomnia Disorder Diagnostic Criteria & ICD-10-CM Billing Code Reference
Pre-Treatment Sleep Profile Summary. Your documented clinical baseline in one page
Sleep Log (clinician guide and client ready handout)
CBT-I Case Conceptualization Worksheet using the 3P model
Candidacy and Readiness Checklist (Proceed, Modify, Refer or Defer)
Sleep Prescription Calculator with weekly titration log
Quick Reference Card (everything at a glance, designed to keep track at your desk)
Discharge and Outcome Tracking Sheet
This packet is best suited for clinicians who:
Have completed or are completing foundational CBT-I training
Are working with adult clients presenting with chronic insomnia disorder
Want to standardize and strengthen their CBT-I intake process
Deliver CBT-I in outpatient, telehealth or in-person, or sleep medicine/medical clinic settings
For licensed clinical use only. Not for redistribution. Upon purchase you will receive an immediate digital download.
