Browse Printable Forms

License a pre-selected number of forms to print yourself! Each page will contain your own "Social DRM," a watermark showing your purchasing information and the number of printed copies allowed (view a sample page). interRAI trusts our customers; we expect you will purchase the appropriate number of forms, and reorder as necessary.

Prices shown below are for quantities of 100; prices vary depending on length of form. Click on title to see other options. interRAI forms range in length from 2 to 12 pages, depending on the instrument or supplement.

If you prefer to have us ship printed forms to you, various bundled quantities are available. Please note that you must be licensed to use any version of interRAI forms.

For information on licensing, contact info@interRAI.org or call +1-734-936-3261.


Image Full Title Price
AC Form Admission, (Standard English), 9.3.0 - License to Print interRAI Acute Care (AC) Admission Assessment Form, (Standard English Edition), 9.3.0 - License to Print $82.52
AC Form Discharge, (Standard English), 9.3.0 - License to Print interRAI Acute Care (AC) Discharge Assessment Form, (Standard English Edition), 9.3.0 - License to Print $61.89
AC Form, (Standard English), 9.1.1 - License to Print interRAI Acute Care (AC) Assessment Form, (Standard English Edition), 9.1.1 - License to Print $226.93
AC-CGA Form, (Standard English), 9.3.0 - License to Print interRAI Acute Care for Comprehensive Geriatric Assessment (AC-CGA) Form, (Standard English Edition), 9.3.0 - License to Print $165.04
BMHS General Form, (Standard English), 9.3.0 - License to Print interRAI Brief Mental Health Screener (BMHS) General Assessment Form, (Standard English Edition), 9.3.0 - License to Print $41.26
BMHS General Form, Canadian French, 9.3.0 - License to Print Bref outil de dépistage en santé mentale (BDSM) interRAI — Formulaire d’évaluation générale, Édition canadienne-française, 9.3.0 - License to Print $41.26
BMHS Police Form, (Standard English), 9.3.0 - License to Print interRAI Brief Mental Health Screener (BMHS) Police Assessment Form, (Standard English Edition), 9.3.0 - License to Print $41.26
BMHS Police Form, Canadian French, 9.3.0 - License to Print Bref outil de dépistage en santé mentale (BDSM) interRAI — Formulaire d’évaluation du service de police, Édition canadienne-française, 9.3.0 - License to Print $41.26
CA Form, (Standard English), 9.2.1 - License to Print interRAI Contact Assessment (CA) Form, (Standard English Edition), 9.2.1 - License to Print $103.15
CA Form, Estonian, 9.3.0 - License to Print interRAI kontakthindamine (KH), Eestikeelne väljaanne, 9.3.0 - License to Print $82.52
CA French form CA Form, French, 9.3.0 - License to Print Formulaire d'évaluation interRAI de premier contact (CA), Édition française, 9.3.0 - License to Print $103.15
CA Form, Italian, 9.2.1 - License to Print Modulo dell’interRAI Contact Assessment (CA), Edizione Italiana, 9.2.1 - License to Print $103.15
CHA Form, (Standard English), 9.1.3 - License to Print interRAI Community Health (CHA) Assessment Form, (Standard English Edition), 9.1.3 - License to Print $123.78
CHA Form, Canadian French, 9.1.4 - License to Print Formulaire d’évaluation de la santé en milieu communautaire (SMC) interRAI. Édition canadienne française, 9.1.4 - License to Print $123.78
CHA Forms, Canadian English, 9.1.3 and 9.1.4 - License to Print interRAI Community Health (CHA) Assessment Forms, Canadian English Edition, 9.1.3 and 9.1.4 - License to Print $123.78
CHA-AL Form, (Standard English), 9.2.1 - License to Print interRAI Assisted Living Supplement to CHA (CHA-AL) Assessment Form, (Standard English Edition), 9.2.1 - License to Print $20.63
CHA-AL Form, Canadian English, 9.2.1 - License to Print interRAI Assisted Living Supplement to CHA (CHA-AL) Assessment Form, Canadian English Edition, 9.2.1 - License to Print $20.63
CHA-AL Form, Canadian French, 9.1.4 - License to Print Formulaire d’évaluation du supplément résidence avec services au SMC interRAI (SMC-RS). Édition canadienne française, 9.1.4 - License to Print $20.63
CHA-Db Form, (Standard English), 9.1.1 - License to Print interRAI Deafblind Supplement to CHA (CHA-Db) Assessment Form, (Standard English Edition), 9.1.1 - License to Print $82.52
CHA-Db Form, Canadian English, 9.1.1 - License to Print interRAI Deafblind Supplement to CHA (CHA-Db, Canadian English Edition, 9.1.1 - License to Print $82.52
CHA-Db Form, Canadian French, 9.1.4 - License to Print Formulaire d’évaluation du supplément pour sourd et aveugle au SMC interRAI (SMC-SA). Édition canadienne française, 9.1.4 - License to Print $103.15
CHA-FS Form, (Standard English), 9.1.1 - License to Print interRAI Functional Supplement to CHA (CHA-FS) Assessment Form, (Standard English Edition), 9.1.1 - License to Print $82.52
CHA-FS Form, Canadian English, 9.1.1 and 9.1.4 - License to Print interRAI Functional Supplements to CHA (CHA-FS), Canadian English Editions, 9.1.1 and 9.1.4 - License to Print $82.52
CHA-FS Form, Canadian French, 9.1.4 - License to Print Formulaire d’évaluation du supplément fonctionnel au SMC interRAI (SMC-SF). Édition canadienne française, 9.1.4 - License to Print $103.15
CHA-MH Form, (Standard English), 9.1.1 - License to Print interRAI Mental Health Supplement to CHA (CHA-MH) Assessment Form, (Standard English Edition), 9.1.1 - License to Print $41.26