New patient intake
Complete these before your first appointment — or ahead of time through the patient portal.
New Patient Questionnaire
The main intake form every new patient completes before their first visit.
Psychotropic Medications Agreement
The patient agreement for psychiatric medication treatment.
Screenings & assessments
Your clinician will tell you which of these apply to you. Don't self-assign — each one is scored as part of your evaluation.
Adult ADHD Self-Report Scale (ASRS)
Self-report screening for adult ADHD symptoms.
ADHD Vanderbilt (Parent / Significant Other)
Informant-rated ADHD assessment for children and adolescents.
Patient Health Questionnaire (PHQ-9)
Standard depression screening and severity measure.
Generalized Anxiety Disorder (GAD-7)
Standard anxiety screening and severity measure.
Mood Stability Screening
Screening for mood episodes and stability over time.
PTSD Checklist for DSM-5 (PCL-5)
Screening for post-traumatic stress symptoms.
Perceived Stress Scale
A brief measure of how stressful you find your life right now.
Adverse Childhood Experiences (ACE)
Questionnaire about childhood experiences that can affect adult health.
WHODAS 2.0
World Health Organization measure of day-to-day functioning.
RCADS-25 (Caregiver)
Caregiver-rated anxiety and depression scale for children and adolescents.
RCADS-47 (Patient)
Self-rated anxiety and depression scale for children and adolescents.
Minor Therapy Pre-Screening
Pre-screening for therapy for patients under 18 — completed with our team.
Consent forms
Consents we may ask for during intake or when coordinating your care.
Patient Consent & Policy Questionnaire
Consent for treatment and acknowledgment of practice policies.
Consent to Release of Information
Authorize us to share records with another provider or person.
Surescripts Prescription Data Consent
Consent to retrieve your prescription history electronically.
