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YOUR TEMPO HEALING LLC

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Reason for care

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1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

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What are your top priorities in seeking mental health services at this time?

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Current and Past Mental Health Care Experiences

Currently in mental health therapy Have received mental health therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Have been hospitalized for mental health reasons before Have attended a higher level of care like Intensive Outpatient or Partial Hospitalization programming before Currently misusing substances Currently have extreme paranoia and/or active psychotic symptoms Currently managing self injurious or self harm behaviors Currently have thoughts to end my life Have attempted to end my life before Currently have thoughts to harm others, or to end someone else's life Currently have disordered eating habits None of the above in the past or present

Please check the box below signifying that you know to utilize the following resources if a crisis and/or a mental health emergency occurs. Your Tempo Healing is not a crisis service.

To call: 988 (The National Lifeline) or 911 immediately. To text 741-741. For services that do not contact the police: https://www.inclusivetherapists.com/crisis

Yes I am aware of the crisis resources available to me.

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

YOUR TEMPO HEALING LLC

Hyattsville

Main Location

Hyattsville, MD 20782-1916

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.