Getting Started

Let us help you.

Personal Information

First Name

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Last Name

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Date of Birth

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Street Address

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Apt #, Suite, floor if applies

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City

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State

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Country

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Email Address

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Emergency Contact Information

Emergency Contact Name

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Emergency Contact Number

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Relationship to Emergency Contact

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Primary Concerns

What brings you in today?

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How long have you been experiencing these issues?

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Medical and Psychiatric History

Current Medications:

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Diagnosis

Choose from one our assessments

Patient Health Questionnaire (PHQ-9)

Generalized Anxiety Disorder-7 (GAD-7)

Insomnia Severity Index (ISI)

Mood Disorder Questionnaire (MDQ)

Adult ADHD Self-Report Scale (ASRS)

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Slide 1

Hello

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Getting Started

Personal Information

Emergency Contact Information

Primary Concerns

Medical and Psychiatric History

Diagnosis

Slide 1

Welcome to AMHS

About

Contact Us

Getting Started

Personal Information

Emergency Contact Information

Primary Concerns

Medical and Psychiatric History

Diagnosis

Slide 1

Welcome to AMHS

About

Contact Us

Social