No-Cost Behavioral Health Self-Assessment

This self-assessment will provide both you and our professionals the crucial information they need prior to your first visit. The self-assessment allows us to schedule your appointment and address your needs faster.

This will take no more than 10 minutes. Please take the time to answer the questions as thoroughly and accurately as possible.

Once complete, you will receive a personalized report via email. After we your appointment, therapists can also access this to get a comprehensive clinician report with helpful diagnostic information.

By entering my email address and submitting this form, I agree to this voluntary self-assessment and the free report it generates is solely for my education purposes. If I subsequently schedule an appointment or register and become a Televero Health patient, this report’s results may be used in my treatment along with applicable clinical fees for the administration of the self-evaluation and medical interpretation of the results.

If you are experiencing a medical emergency, please call 911.