Pre-Assessment Questionnaire
In order to determine if we are a good fit, we ask that you review the first section of our Pre-Assessment Questionnaire (PAQ) that includes a New Patient Guide. This section includes a series of policies that are shown to you based on your specific case and should take approximately 4 minutes to review.
Should you decide to continue, you will then proceed to the answer questions on basic demographics, history, and preferences as well as provide us with your insurance coverage information. This form assists us in confirming your benefits in advance of scheduling to avoid any unpleasant surprises for both you and us. We will tailor your scheduling based on your individual case. All your information will remain private and will be used solely for timely onboarding.
The remainder of the PAQ should take 8-10 approximately minutes to fill out and autosaves your progress. Please have your legal ID and insurance card ready.
What if I am afraid to mention certain aspects of my history?
Answer questions openly and honestly. Don’t feel there are any “wrong” or “bad” answers and don’t hesitate to include all relevant details. Please reference you prior records, medications, and our practice website for more information.
What do I do if I feel uncomfortable recollecting my history?
If you feel uncomfortable or triggered or if you are having thoughts of self-harm or suicide and are concerned for your safety, STOP immediately. Call 911 or go to your nearest emergency room for a crisis psychiatric evaluation.
What are the next steps?
Once you click submit, you are welcome to browse the rest of the site. Our office will call you within 48 hours to schedule your first visit and discuss your financial responsibility, if any.
Submission of this inquiry form and preliminary correspondence with our staff does not establish a patient-provider relationship with Evolve Psychiatry. You must finish your intake, meet with your psychiatrist, and formulate a treatment plan in order to establish yourself as a patient.