Your Full Assessment
Dear (Username),
Thank you for making use of Mypsypotential. You may be doing so on the advice
of your physician, or you may be taking your own initiative. Either way,
you will empower both yourself and your physician with a complete data-basis,
rounded off by a diagnosis. Your diagnosis will be made by your physician
backed by Mypsypotential's cutting- edge support. Mypsypotential will also
discuss treatment options with your physician, and synchronize any combination
of medications prescribed by him or her.
Every person your physician reviews through Mypsypotential is a short, easy
refresher course to him or her.
Psychiatry is like a jig-saw puzzle. It comes your way as two thousand pieces
in a box. Only the completed picture tells one what the puzzle is about.
Your entire dealing with Mypsypotential is to put full information in your
physician's hands. If you look at the amount of information you have to work
through, you will understand why no doctor could spend the time to go over
all those questions with one patient. So you are investing your own time
covering all that material on your doctor's behalf., .
Mypsypotential deals exclusively with your physician as soon as you have
submitted your form.
Please do each division very well. When you submit it, it will be saved.
As soon as you have completed all subdivisions, you will be able to edit
your whole questionnaire. Please make sure that you are satisfied with all
your data before clicking the 'Final Submission:' button.
You will receive an automated return letter which gives you a coded pseudonym.
Please make sure your physician connects your coded pseudonym to your real
identity. Mypsypotential will ensure total confidentiality by attaching only
your coded pseudonym to your form.
Your physician will receive your form within 24 hours after you and
Mypsypotential have agreed that it is complete. You may receive return letters
asking you to correct errors or to complete parts you missed.
Greetings,
Dr. Jean Blom M.B.Ch.B. M.Med(Psy)
3906 51 ave
Lloydminster AB
T9V 2Z2
Please give us by much details as you are comfortable with
in the form below and then go to Checkout to Pay for and Download the
Questionnaire.
See the Index
of the Questionnaire below for your information.
It would be of no use for you to acquire the Questionnaire if you don't have
anybody to analyze it. Please, therefore, provide as much information as
you can in the fields below, since it will help us to assist your physician
in his analysis and to improve our service.
(Please be assured that your information will be treated in the strictest
confidence)
See Multiply below about our
Discussion Forum for Clients
Contact Form
|
|
|
INDEX OF THE QUESTIONNAIRE (For your information) |
01 |
Personal Details & Patient Essay |
02 |
Demographic Particulars |
03 |
Genetic & Fetal-background |
04 |
Developmental & Neurological Background |
05 |
Substance Abuse, Social Development & Marriage |
06 |
Mental_Substance-Induced-Disorders |
07 |
Psychotic Disorders |
08 |
Mood & Anxiety Disorders |
09 |
Somatoform - Factitious - Dissociative - Disorders |
10 |
Sexual, Gender & Identity Disorders |
11 |
Eating, Sleep & Impulse Control Disorders |
12 |
Adjustment Disorders & Personality Assessment |
|
.
|
|
