We'd love it if you could spare a few moments to fill out a short questionnaire for us. This will help us match you with the perfect mental health provider who can best assist you with the things you're dealing with. Your answers will also provide us with a great starting point in getting to know you.

Tell us about yourself.

Are you at least 18 years old? *

Have you ever sought assistance from a psychiatrist previously? *

Could you share with us what prompted you to seek help today? *

I've been feeling depressed

I'm feeling anxious or overwhelmed

My mood is interfering with my life

I struggle with building and maintaining relationships

I'm grieving

I experienced trauma

I want to gain self confidence

I want to improve myself, but I don't know where to start

Therapy was recommended to me by someone

Just exploring

Other

What kind of help are you looking for? *

Psychiatry Services/Medication Management

ADHD Evaluation

TMS

Genetic Testing

Other

I'm not sure

If you selected "Other" please describe what kind of help you are looking for.

Are you currently taking any medication? *

Which county and city of Pennsylvania are you located in? *

What kind of insurance coverage do you have? *

What's your name? *

First Name

Last Name

What's your email? *

What's a good phone number for you? *

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Thank you!

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If you or someone else is in a crisis or danger, please do not use this site. You can find immediate assistance from these resources.

Phone: (484)-339-3936

Fax: (484)-339-3949

Address: 999 Berkshire Blvd Suite 280,
Wyomissing PA 19610

Serving all of Pennsylvania

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This is a teaching facility that partners with several educational institutions to assist students in furthering their clinical studies.