Patient Health Assessment

This is a confidential depression assessment. This website operates on a secure server (SSL protected) and has sitelock web security so all information you provide is encrypted, HIPAA compliant, and safe. We never share your information with 3rd parties.

Should your score indicate you are depressed, we may contact you to discuss available treatment options, including but not limited to Ketamine Infusion Therapy.

Personal Information

  • Over the past 2 weeks, how often have you been bothered by any of the following problems?​