If you are ready to invest in yourself or your child and want to learn more about how we can work together, we invite you to fill out the self-assessment so that we can best understand your needs. Once completed, you will be contacted by Dr. Azad for a short phone call to determine if scheduling an initial evaluation with our clinic will be the best next step. We look forward to unleashing your mental health potential. Let’s invest in your mental health and thrive together!
Request A Consultation
The function of this form is to simplify the process of getting accepted into Mental Wealth. However, it is imperative that all prospective patients understand that by providing this information no physician-patient relationship is being established and acceptance into the practice is not guaranteed. Do not complete this form if you believe that you are experiencing a medical or psychiatric emergency, including suicidal or homicidal thoughts or urges, side effects to medications, or any other urgent or time-sensitive matters. Instead, call 911 or go to the nearest emergency room immediately.
Once this form is submitted, you will be directed to choose a 10-minute time slot for a free consultation with Dr. Azad to discuss best next steps. Please note that the phone call does not establish a physician-patient relationship and no treatment will be provided until a full intake is completed.