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Free
Symptom Review
Thank
you for taking the time to review the informational materials
we have created at Tate Healthcare Specialists. We hope you find
our reports on Depression, Anxiety, PMS, Obesity, Attention-Deficit,
Smoking and other topics helpful.
In
this section, you will find our Standard Intake Form, which we
use at our office. Each patient completes this form at the first
visit. We have found this form to be so useful that 90% of the
time we have a good idea of what the diagnosis will be and how
we will help the patient just by reviewing this Intake Form.
Based
on your answers to the questions on the form, we will be able
to give you our best preliminary assessment regarding any psychological
or personality symptoms you may be experiencing.
Please
be sure to include your name, address, telephone number, and e-mail
address (if you have one) at the beginning of the form. Then submit
the completed form when you are finished.
I will
review your form, and, as soon as possible, I will send you an
encrypted e-mail with my initial impressions.
Thank
you for your interest. Please click the button at left to begin
the form.
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