Ph: 806.239.3848 | Fx: 831.471.8162 rgordhamer@gmail.com

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  • PLEASE COMPLETE ALL SECTIONS IN ONE SITTING.

    Although some patients may finish sooner we recommend allowing at least 20-40 minutes to complete. Please follow the directions at the top of the page in each section.

    We respect your privacy and will never disclose your personal information without your written consent.

    Don’t accept any help in answering questions. The answers must be solely your own.

    The patient pays a fee of $150.00 via credit or debit card. This is your only expense for this mental health evaluation service.

    If you have any questions please call us at (806) 239-3848.

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