Forms

Prior to your first appointment, we ask that you complete as many of the following forms as you can. These will help make the evaluation process more efficient and accurate and help make your experience more rewarding. 

Patient Information (fill out this form)
Medication Review (fill out this form)
MINI International Neuropsychiatric Interview (fill out this form)
Mood Disorder Questionnaire (fill out this form)
Patient Health Questionnaire (PHQ-9) (fill out this form)
Quick Inventory of Depressive Symptomatology (QIDS) (fill out this form)
Symptom Checklist 90 (SCL-90) (fill out this form)
Social History (fill out this form)
Temperament Questionnaire (TEMPS-A) (fill out this form)
Adult Self-Report Scale Symptom Checklist (ASRS) (fill out this form) 

*** These tests are for screening purposes only. They are designed to give a preliminary indication psychopathologic status and personality functioning. Though they may help increase your awareness of particular experiences or of particular forms of psychological distress, they are not, by themselves, tools for diagnosing any type of health or mental health condition. Online tests do not replace an evaluation by a trained psychiatrist such as Dr. Pundy.

If you are suicidal, call 911 or go to the nearest emergency room.