Convenient Access to Patient Forms and Documents

Intake Forms

For Children (Ages 12 and Below)

For Adolescents (Ages 13 through 17)

• Patient Information Questionnaire
• Form B – Patient Health Questionnaire for Adolescents (PHQ-A)
• Form C – Anxiety Screening (GAD-7)
• Form E – CAGE-AID Questionnaire
  

For Adults (Ages 18 and Up)

• Patient Information Questionnaire
• Form C – Anxiety Screening (GAD-7)
• Form D – Patient Health Questionnaire (PHQ-9)
• Form E – CAGE-AID Questionnaire