Welcome to Ann Arbor Psychiatry!
This is a virtual clinical interview. Based on how you respond to questions, subsequent questions will self-adjust. PLEASE USE A COMPUTER (not a phone)!
Please be sure of your answer to the following question about if we have your insurance information. We have to delete intake appointments without this information, as we do not always have a receptionist on hand to take the information in the office.
It's a long intake form and the symptom focused questions are most important, so feel free to skip anything listed as optional unless you have the time and stamina!
Optional: Tell us about yourself.
Were you raised by one or two parents? Biological or Adopted?Any difficult or unusual aspects of childhood? Divorce? Moves? Bullying?
Physical or sexual abuse of any kind?
How far did you go in school?
Who do you live with? How do you currently pay the bills?