Monday to Friday: 8 AM – 5 PM
(904) 893-3265
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.
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.
Our HIPAA-compliant E-Fax number for referrals is (904) 715-8753.
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.
