Featured Clinical Services For Patients
Intake Form and Consent
Forms are preliminary paperwork potential customers complete to determine their fit for your services. These forms ask for information about the person
Intake Form and Consent FormRelease of Information Form
The purpose of this disclosure of the information is to improve assessment and treatment planning, share information relevant to treatment and when appropriate
Release of Information FormAbnormal Involuntary Movement Scale ( AIMS)
Abnormal Involuntary Movement Scale (AIMS) is a rating scale that was designed in the 1970s to measure involuntary movements known as tardive dyskinesia (TD)
AIMSAttention Deficit Disorder Rating Scale (Adult)
This checklist was developed from the experience of many specialists in Attention Disorders and Hyperactivity.
ADHD or ADDDepression Rating Scale
PLEASE COMPLETE THE SCALE BASED ON A STRUCTURED INTERVIEW
Depression Rating ScaleDSM-5-TR Parent/Guardian
DSM-5-TR Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17
DSM-5-TRDSM-5-TR Self-Rated Level 1
DSM-5-TR Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult
DSM-5-TRDSM-5-TR Self-Rated -Child Age 11–17
DSM-5-TR Self-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 11–17
DSM-5-TR Self-Rated LevelLEVEL 2-Anxiety-Adult
LEVEL 2—Anxiety—Adult (PROMIS Emotional Distress—Anxiety)
LEVEL 2-Anxiety-AdultLEVEL 2-Depression-Adult
LEVEL 2—Depression—Adult PROMIS Emotional Distress—Depression
LEVEL 2-Depression-AdultLEVEL 2—Repetitive Thoughts and Behaviors
LEVEL 2—Repetitive Thoughts and Behaviors—Adult - Obsessive-Compulsive Severity Scale (Part B)
Repetitive Thoughts and BehavioursLEVEL 2-Sleep Disturbance
LEVEL 2—Sleep Disturbance—Adult (PROMIS—Sleep Disturbance)
Sleep DisturbanceLEVEL 2-Somatic Symptom
LEVEL 2—Somatic Symptom—Adult Patient - Patient Health Questionnaire Physical Symptoms (PHQ-15)
Somatic SymptomLEVEL 2-Substance Use
LEVEL 2—Substance Use—Adult (Adapted from the NIDA-Modified ASSIST)
Substance UseOpiate Withdrawal Scale
Practitioners sometimes express concern about the objectivity of the items in the COWS; however, the symptoms of opioid withdrawal have been
Opiate Withdrawal ScaleGeneral Anxiety Disorder
Patient Health Questionnaire and General Anxiety Disorder ( PHQ-9 and GAD-7 )
General Anxiety DisorderSeverity Measure for Depression
Severity Measure for Depression—Adult - Adapted from the Patient Health Questionnaire–9 (PHQ-9)
Severity Measure for DepressionSeverity Measure for Generalized
Severity Measure for Generalized Anxiety Disorder—Adult
Severity Measure for GeneralizedSeverity Measure for Panic Disorder—Adult
Severity Measure for Panic Disorder—Adult
Severity Measure for Panic DisorderSeverity Measure for Social Anxiety Disorder
Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult
Severity Measure for Social Anxiety DisorderSeverity Measure for Specific Phobia
Severity Measure for Specific Phobia—Adult
Severity Measure for Specific PhobiaSeverity of Acute Stress Symptoms
Severity of Acute Stress Symptoms—Adult - National Stressful Events Survey Acute Stress Disorder Short Scale (NSESSS)
Severity of Acute Stress SymptomsSeverity of Dissociative Symptoms
Severity of Dissociative Symptoms—Adult* *Brief Dissociative Experiences Scale (DES-B)—Modified
Severity of Dissociative SymptomsSeverity of Posttraumatic Stress Symptoms
Severity of Posttraumatic Stress Symptoms—Adult* *National Stressful Events Survey PTSD Short Scale (NSESSS)
Severity of Posttraumatic Stress Symptoms