Phq Screen 228471 | Frm 19825

100x Filetype PDF File size 0.09 MB Source: www.albertahealthservices.ca

File: Phq Screen 228471 | Frm 19825

Patient label placed here (if applicable) or if labels are not used, minimum information below is required. Name (last, first) Birthdate (yyyy-Mon-dd) Gender Male Patient Health Questionnaire (PHQ-2 & ...

Filetype PDF | Posted on 02 Mar 2023 | 2 years ago

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...Patient label placed here if applicable or labels are not used minimum information below is required name last first birthdate yyyy mon dd gender male health questionnaire phq female phn uli during the past two weeks have you often been bothered by little interest pleasure in doing yes no things feeling down depressed hopeless answer to both questions screen negative for depression re indicated was selected one please consult appropriate discipline complete date signature over how at all several days more than nearly any of following problems score half every day use indicate your trouble falling asleep staying sleeping too much tired having energy poor appetite overeating bad about yourself that a failure let family concentrating on such as reading newspaper watching television moving speaking so slowly other people could noticed opposite being fidgety restless around usual thoughts would be better off dead hurting some way total checked problem difficult these made it do work take ca...

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Category: Uncategorized / Uncategorized
Posted on: 02 Mar 2023 | 2 years ago
Tag: download pdf, 19825,
Filetype: PDF
File size: 0.09 MB
Views: 100x
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