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Please fill out the following forms (2) in their entirety and to the best of your ability. If under 18 years old, please complete with your legal guardian.
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Registration Form
Patient Information
First Name
Date of Birth
Middle Name
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Please upload a picture of the patient's picture ID or legal guardian's ID, if the patient is under 18.
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Patient Scales (PHQ9+ GAD7+RMS)
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