Intake Form


Please complete this form no later than 24 hours prior to your scheduled appointment. Your responses allow Dr. Borue to focus your visit on the most pressing and relevant concerns instead of using up your valuable time for routine screening and demographics questions. Your responses will viewed by Dr. Borue prior to or during your scheduled appointment and entered as a part of your medical record.

About your privacy:
Full Spectrum Psychiatry has a signed BAA with Google to ensure the safety, security, and HIPAA compliance of all electronic Docs, including this form. All forms are accessed through a HTTPS (Hypertext Transfer Protocol Secure) connection. Google and Full Spectrum Psychiatry use safeguards to prevent against unauthorized use or disclosure of your protected health information. Google Docs (Forms) are audited using industry standards such as ISO 27001 certification and SOC 2 and SOC 3 Type II audits, which are the most widely recognized, internationally accepted independent security compliance audits.

    Basic Information

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