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.

Assess Your Depression

Open your camera app on your smartphone

Hold your smartphone camera up to the QR code

Click the link to open the questionnaire in your browser

Fill out the questionnaire and submit

Your answers will be securely transmitted to your provider to review during your appointment.

Visit NeuroStar.com for safety information and indications for use.

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.