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Center For Focused Care

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1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

WE ARE ON A HOLD FOR TAKING NEW PATIENTS UNTIL MID OCTOBER- PLEASE TYPE YES THAT YOU HAVE READ THIS MESSAGE

What kind of care is being sought?

Medication Management with Dr. Sipple ** DR. SIPPLE IS NOT ACCEPTING NEW CLIENTS. BY MARKING THIS YOUR PRESCREEN FORM WILL BE DENIED. Therapy with Julie Mannarino, LCSW Therapy with Melanie Dunbar, PhD Neuropsychological Testing with Melanie Dunbar, PhD. Transcranial Magnetic Stimulation

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

Center For Focused Care

814.790.4567 |

Erie, PA

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You have the right to receive a Good Faith Estimate of what your services may cost.

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Erie, PA 16505-3691

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.