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Dr. Shadana Davis, PsyD PLLC

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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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Athlete Mental Health issues Anxiety Depression Trauma Grief Relationship issues Adjustment Issues Couples counseling Stress Attentional/Executive Functioning difficulties Psychological Evaluation Psychoeducational Evaluation ADHD Evaluation Autism Evaluation Other

Mental health treatment history?

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Currently in therapy Therapy in the past Psychiatry care (prescribed psychiatric medication) Taken psychiatric medication in the past Hospitalized for a psychiatric issue None of these apply

What mental health concerns have you experienced in the past?

Suicidal ideation Attempted suicide in the past None of the above

Are you seeking services due to problems that are legal (e.g., police or court), medical (health-related), relationship (family, marriage, or partner), or employment (job-related)?

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For Couples Only, Have either you or your partner struck, used violence against, or injured the other person?

Only answer if seeking couples counseling

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If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

Dr. Shadana Davis, PsyD PLLC

267.282.1175 |

Philadelphia

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Philadelphia, PA 19118-3309

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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.