Answer These Few Questions To Get Started.
Are you currently experiencing symptoms of depression (low energy, sadness, feeling hopeless & down, appetite changes, irritability, difficulty concentrating)?
*
Yes
No
Have you tried antidepressant medications in the past?
*
Yes
No
Are you currently taking any antidepressant medications?
*
Yes
No
Have you experienced side effects from taking antidepressant medications?
*
Yes
No
Have you seen a therapist and/or a counselor currently or in the past for talk therapy?
*
Yes
No
Are you currently an existing patient at our practice?
*
Yes
No
Name
First Name
*
Last Name
*
Email
*
Phone Number
*
Format: (000) 000-0000.
How Did You Hear About Us?
*
Message
*
Submit
Should be Empty: