Florida 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.

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Brief assessment

Meet with one our licensed clinicians in-person or virtually for an in-depth assessment to curate an individualized treatment plan and medication management strategy.

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Meet your therapist

Meet with your expert psychiatric practitioner and expand your treatment team as needed to work on your specific mental health goals.

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Filling out the intake forms does not guarantee you will be scheduled with our office.