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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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