Request appointment | Mat-Su Mental Health

What is the reason for seeking care?

Anxiety Attentional difficulties Behavioral issues Depression Grief Relationship issues Trauma Medication Management

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

In therapy now In therapy in the past Currently taking psychiatric medication and is exploring options Currently prescribed psychiatric medication by an outside provider and is seeking to transfer care Prefers to discuss with provider None of these

Is there anything that the practitioner needs to know?

If this is a referral for medication management, please add information pertinent for the provider to know.

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