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What mental health concerns or treatment have occurred in the past?

If you are in crisis, please contact 988 or local emergency services. This practice does not provide crisis services.

In therapy now In therapy in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Attempted suicide in the past None of these apply

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.