Forms

Below are the necessary forms for our patients to complete before their appointments. Our aim is to make this process as straightforward and stress-free as possible, ensuring you can focus on your mental health journey. At Cornerstone Psychiatric Wellness, we understand that dealing with paperwork can be tedious, and we are committed to making it easier for you to get the form, fill it out, and return it to us.

Intake Questionnaire

Limits of Confidentiality 

This form outlines the limits of confidentiality of your treatment at Cornerstone Psychiatric Wellness. Please read it carefully and sign to indicate your consent.

Consent for Treatment 

This form outlines the terms and conditions of your treatment at Cornerstone Psychiatric Wellness. Please read it carefully and sign to indicate your consent.

Telehealth Informed Consent

This form outlines the terms and conditions of telehealth treatment with Cornerstone Psychiatric Wellness. Please read it carefully and sign to indicate your consent.

PHQ-9

The Patient Health Questionnaire-9 (PHQ-9) is a 9-item questionnaire used to screen for and monitor the severity of depression. It asks about the frequency of nine common depression symptoms over the past two weeks. 

GAD-7

The Generalized Anxiety Disorder-7 (GAD-7) is a screening tool used to assess the severity of generalized anxiety disorder (GAD). It asks about the frequency of seven common anxiety symptoms over the past two weeks. 

ASRS-v1.1

ASRS v1.1 is an acronym for the Adult ADHD Self-Report Scale, Version 1.1, a screening tool used to help identify potential attention-deficit/hyperactivity disorder (ADHD) symptoms in adults. It is a self-report questionnaire with 18 questions that asks adults to rate how often they have experienced certain ADHD-related symptoms over the past six months.