Pre-Assessment Questionnaire
All information submitted is confidential and secured via HIPAA compliant encryption. Please answer all questions completely and truthfully. We wish to allocate and plan for resources most suitable for your needs and avoid downstream delays or disruption in your care. Please reference your prior records, medications, and our practice website for more information. Before we establish care, we ask that you complete a Pre-Assessment Questionnaire (PAQ)/Prospective Patient Questionnaire that will guide our administrative team to determine your level of care and start planning your care. All your information will remain private and will be used solely for timely onboarding. The form should take between 10-20 minutes to fill out and autosaves your progress.
Check eligibility
Get started with a conversation, conveniently offered over the phone, and complete our brief intake questionnaire.
Brief assessment
Meet with one our licensed clinicians in-person or virtually for an in-depth assessment to curate an individualized treatment plan.
Meet your therapist
Meet with your expert therapist over the next 12-weeks to work on your specific mental health goals.
FAQs
It is an introductory form to gather demographic information, basic history, and personal identification to initiate enrollment.
The total time for all questions takes approximately 10-15 minutes, and your progress is auto saved. Of course, you can spend more time-sharing details or having a complex case. Our average completion time for complex cases is around 15-20 minutes.
A completed PAQ assists us in determining a suitable provider who can offer personalized care for your unique case and confirming your benefits. Our team aims to be prepared to provide you with accurate and valuable preliminary information before scheduling to help you make an informed decision and avoid any unpleasant surprises for both you and us.
We assure you that all your information is strictly confidential and will only be used to give you the best possible care. Don’t feel there are any “wrong” answers; don’t hesitate to include all relevant details.
You will need to complete a detailed intake form before your scheduled appointment, which will cover a thorough history. This will save you time from answering these questions again during your initial consultation interview.
All your information collected securely will remain private and be used solely for timely onboarding.
Once you click submit, you are welcome to browse the rest of the site. Our office will call you within 24-48 hours to schedule your first visit and discuss your financial responsibility, if any.
Filling out the PAQ does not guarantee you will be scheduled with our office.