D. Victoria Martin MD JOTFORM (Adult questionaire) new patient
source app: D. victoria martin MD website, ADULT, basic questions,: DOB:gender identity: phone: email: address: emergency contact: Age: , Family History, Relationships w/ family + friends+romantic, marital stats, kids, raised where born where,school like, how far in school, medical issues, any previous psychatrist(s) or therapist(s), hospitalized for a osych episode? meds current or have taken, allergies, genertic mood disorders,
smoke/vape?, drink/how much, recreational drugs, how much, check all tha apply i.v drug use?,
( answer N/A-little -some- often- most (yall must be answered))
( answer :yes -some- or-no (all must be answered))
( answer select the response that est fits NONE< LITTLE
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