Please select all concerns that apply. These options are not diagnoses and help guide your initial evaluation.

Please select the primary reason for your appointment. Some services may require an evaluation before they are offered.

(Check all that apply)

Some medications require careful evaluation and are not prescribed at the initial visit. Selection of an option does not guarantee that a prescription will be provided.

If you are currently receiving psychiatric care, we may request records or coordinate with your current provider to ensure safe continuity of treatment.

Having a primary care provider and/or therapist supports coordinated care. We may request contact information or records with your consent.

Please select any conditions that may affect psychiatric care or medication selection.