Patient Health Questionnaire

Patient health questionnaire

Scan to access a short list of questions used by your provider to assess the severity of depression

Click here to directly access the questionnaire.

Our HIPAA-compliant E-Fax number for referrals is (904) 659-8380.

Please include the following minimal patient information: first/last name, DOB, address, contact number/email, diagnosis, insurance and policy number, and name of referring provider.