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What is the reason for seeking care?

Anxiety Attentional difficulties Behavioral issues Depression Grief Relationship issues Substance use Trauma Other

What kind of care is being sought?

Please Note: Mind Renewed Psychiatry does not provide psychotherapy as a stand-alone service. The practice specializes in psychiatric evaluations and medication management, which may include supportive psychotherapy as part of your visit. If you are seeking therapy only without medication management, this practice may not be the best fit for your needs, and we recommend scheduling with a licensed therapist instead.

Psychotherapy Medication Psychiatric Evaluation Not sure

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

Are you currently taking any medications for your mental health? If so, please list Name, Dose and Frequency. (type NA if you aren't currently taking meds)

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Have you taken any mental health medications in the past? If yes, please list name, dose and frequency. If no, type NA.

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