Get Adult Intake Packet - David Penner Md Pllc

Completing the Adult Intake Packet is an important step in receiving personalized care at David Penner MD PLLC. This guide will provide you with clear instructions on how to efficiently fill out the form online, ensuring your experience is as seamless as possible.

Follow the steps to complete your Adult Intake Packet online.

1. Click the ‘Get Form’ button to access the Adult Intake Packet. This will allow you to open the form and start filling it out.
2. Begin by entering your basic demographics. This includes your full name, date of birth, address, and contact information. Make sure to provide the correct details as they will be used for your records.
3. Next, provide information on your mental health history. Detail any previous counseling or therapy services, psychiatric medications you've taken, and any relevant hospitalizations.
4. Continue by filling out the medical information section. List any allergies, current medications, and any significant medical history including hospitalizations or surgeries.
5. In the social history section, describe your current living situation, educational background, and any relevant family dynamics that may relate to your care.
6. Complete the family mental health history. Share details about any mental health issues within your immediate or extended family that you are aware of.
7. Next, address the substance use inquiry. This includes your smoking and alcohol consumption habits as well as any use of other substances.
8. Then, proceed to the psychiatric review of systems, checking off any symptoms you may have experienced such as feelings of sadness, anxiety, or other related concerns.
9. Finally, review your answers for completeness and accuracy before submitting. Ensure that you have filled out all required fields.
10. Once satisfied, you can save your changes, download a copy for your records, and then print or share the form as needed.

Start filling out your Adult Intake Packet online today to facilitate your upcoming appointment.