Forms & Questionnaires

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FORMS

[button url=”https://intakeq.com/c/Bg6kUw”]HIPAA RELEASE OF INFORMATION[/button]

[button url=”https://intakeq.com/c/LFJhA4″]TELEMEDICINE CONSENT[/button]

[button url=”https://intakeq.com/c/pgSaFU”]FINANCIAL POLICY AND AGREEMENT[/button]

[button url=”https://intakeq.com/c/zqRwv2″]MEDICARE NOTICE AND AGREEMENT IF YOU HAVE MEDICARE[/button]

[button url=”https://intakeq.com/c/b1mcUC”]ACKNOWLEDGEMENT OF PRIVACY POLICIES[/button]

RATING SCALES

[button url=”https://intakeq.com/new/xrk3fb”]DEPRESSION (PHQ-9)[/button]

[button url=”https://intakeq.com/new/bs0qgl”]GENERLIZED ANXIETY (GAD-7)[/button]

[button url=”https://intakeq.com/new/qxpccz”]REPETITIVE THOUGHTS AND BEHAVIORS (FOCI)[/button]

[button url=”https://intakeq.com/new/czunos”]SOCIAL ANXIETY[/button]

[button url=”https://intakeq.com/new/1hutar”]PANIC DISORDER[/button]

[button url=”https://intakeq.com/new/ivx6n5″]PTSD[/button]

[button url=”https://intakeq.com/new/lhwox2″]SLEEP[/button]

[button url=”https://intakeq.com/new/kj03ti”]ANGER[/button]

[button url=”https://intakeq.com/new/8n0bqn”]MANIA (ASRM)[/button]

[button url=”https://intakeq.com/new/uj26l1″]RESILIENCE[/button]

[button url=”https://intakeq.com/new/10uoky”]FLOURISHING[/button]

[button url=”https://intakeq.com/new/yttswq”]FOOD ADDICTION (Y-FAS 2.0)[/button]

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