This form is designed to provide pertinent information related to your health.
It will take around 30-40min to complete. Please complete it ALL in one attempt.  

The form will not save or submit if it is incomplete or if you close your browser.

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The subcomponents are:

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1) Demographics
2) Past Medical History
3) PHQ-9 Depression Screen
4) GAD-7 Anxiety Screen
5) Eating Disorders Screen
6) ASRS Adult ADHD Self-reporting Scale
7) Consent Page
 
When you are complete you will be redirected to the Renovo Main page.

 

We will work hard to process this registration, please avoid filling out duplicate forms.
You will be contacted by a specialist clinic once your appointment is ready to be scheduled. 

 

When you are ready, please start below:

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