PHQ-9

The patient must answer based on how they have felt during the last two weeks. Parent or caregiver information is not requested.

Patient information

Use the same patient information the office has on file.

Today's date (filled automatically) *Patient's full name *Date of birth (optional)Patient's phone number *

Step 1 of 4

For urgent concerns or assistance, call (704) 735-1441. For emergencies, call 911.