Psychiatric History Record
To begin the prospective-patient review process, please complete your Psychiatric History Record. You can either complete it here in the guided wizard or use the blank PDF option below.
Option 1: Complete the step-by-step wizard
This page guides you through the form one section at a time and creates a finalized, non-editable PDF at the end.
Option 2: Complete the blank PDF offline
If you prefer, or if you are on a shared/public device, you may download the blank PDF and complete it separately before uploading it through Spruce.
Privacy reminder: Avoid using this wizard on a shared or public computer unless you are comfortable with the risks. If you need to finish later, you may enable encrypted Autosave for this browser on this device.
Most people take about 45 minutes to complete all 10 pages.
- Move section-by-section through the form at your own pace.
- Resume later by enabling encrypted Autosave on this device.
- Finish by creating a non-editable PDF for upload through Spruce.
Enable Autosave
To continue in the wizard, encrypted Autosave must be enabled for this browser on this device.
Your PDF is downloaded. Please upload it securely through the Spruce Secure Upload (HIPAA) on our Contact page.
Go to Contact & Secure UploadAfter your upload is successfully sent, we recommend that you delete the downloaded PDF from your device's Downloads folder, and also empty your device's trash/recycle bin (or equivalent) for your own privacy.
If Autosave is not enabled and you close this tab, refresh the page, or come back later, your progress may be lost.