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Scheduling/Patient portal Link

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***Late evening & weekend appointments may be available upon request. Call if the time you are seeking is not available.

Medical Questionnaire

Please fill out the following form to help us understand your physical condition.

*This is only a medical questionnaire. To scheduled an appointment click the SCHEDULE NOW button at the top of the page.

Have you been hospitalized for any mental health conditions in the last 12 months?
Are you feeling good today?

Thanks for submitting!

Step 1: Intake Form
Take Our Quiz
Little interest or pleasure in during things
Feeling down, depressed or hopeless
Trouble Falling, Staying asleep or Too Much Sleep
Feeling Tired or having little enegry
Poor appetite or overeating
Feeling bad about yourself, that you are a failure or you let your family down

Thanks for submitting!