This health assessment includes a deep dive into your health history. The goal from this information is to create a timeline which you can use to better understand patterns and health conditions. You will also see a connection between your physical health and your mental health. I encourage you to use the information we gather to further talk to the people on your health care team. Once I receive this form and have time to review it, I will reach out and we will schedule a time to review it together.

You will leave the appointment with

• a detailed timeline which will show connections between mental and physical health
• a matrix which will show the current state of your health according to your basic health systems
• an action plan to help you make decisions on what to do next