Request appointment | Stepping Up Mental Health LLC

Request an appointment

What is the reason for seeking care?

Limited to 600 characters

Are you currently taking, or are you specifically seeking, any controlled medications such as benzodiazepines (Xanax, Klonopin, Ativan) or stimulant medications (Adderall, Vyvanse, Ritalin)? If yes, please list the medication, dose, and reason it was prescribed."

If not applicable put N/A

Limited to 600 characters

Have you previously been prescribed controlled medications? If yes, what provider prescribed them, how long were you taking them, and why did you stop or change treatment?

If not applicable put N/A

Limited to 600 characters

What medication are you hoping to start, restart, or continue, and what symptoms are you hoping it will treat?

If not applicable put N/A

Limited to 600 characters

What are your treatment goals beyond obtaining medication?

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If any, How many psychiatric providers have you seen in the last 5 years?

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