• WELCOME TO ALIGN - Patient History Form

    Thank you for your interest to join the ALIGN Family. We are eager to assist you in aligning your mental health goals with your reality while meeting you where you are through Telehealth. Please complete our history form at least 24 hours prior to your scheduled appointment. If this has not been received, your appointment may be rescheduled.
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  • Psychiatric Presentation

    Please provide information about your current psychiatric presentation.
  • Psychiatric History

    Please provide information about your psychiatric history
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  • Psychiatric Medications

  • Medical History

  • Psychosocial History

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  • Substance Use History

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  • Current Psychiatric Assessments

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  • Pharmacy

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