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What are you looking for help with? *Check all that apply

Depression

Anxiety

Bipolar disorder

ADHD

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Describe Your Interest in Treatment *

What type of care are you seeking? *

Are you currently in crisis or having thoughts of harming yourself or others? *

In the past 6 months, have you been hospitalized for psychiatric reasons? *

Are you currently stable on medications and looking for a new prescriber to continue them? *

Do you have a legal case requiring a psychiatric evaluation or letter? *

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