This helps your therapist prepare for your first session. All responses are confidential.
PREVIOUS TREATMENT
CURRENT CONCERNS
MEDICAL INFORMATION
GAD-7: Over the last two weeks, how often have you been bothered by the following problems?
PHQ-9: Over the last 2 weeks, how often have you been bothered by any of the following problems?
SAFETY
If you or someone you know is experiencing domestic violence, help is available 24/7. National DV Hotline: 1-800-799-7233 (SAFE) · Text START to 88788 988 Suicide & Crisis Lifeline: Call or text 988
