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Patient Forms

Patient's Medical Information Release Form

Telepsychiatry Treatment Consent Form

Consent and Authorization for Electronic Communication (E-mail and Text)

Patient's Consent for Treatment Form

Privacy Policy

House of Wellness Patient Policies and Procedures

Credit Card Authorization Form

Patient Health Questionnaire (PHQ-9)

GAD-7 Form

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If you are having a psychiatric or medical emergency, please call 911 or go to your nearest Emergency Room. You can also reach the National Suicide Prevention Lifeline at 800-273-8255 or contact the Crisis Text Line by texting TALK to 741741.

If you’re experiencing emotional distress, the resources below provide free and confidential support 24/7. If this is an emergency, call 911.

Suicide Prevention Lifeline

Call: 1-800-273-8255

Crisis Text Line

Text: HOME to 741741

Hours

Monday – Friday / 9am to 5pm

Evening and Weekends by appointment only