Patient Consideration

Concierge Mental Health Psychiatry for Adults and Geriatric Individuals

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THIS FORM MUST BE COMPLETED BY THE POTENTIAL PATIENT AND/OR LEGAL GUARDIAN: IT MAY BE COMPLETED WITH THE ASSISTANCE OF ANOTHER PERSON AS LONG AS THE PATIENT AGREES WITH ALL THAT IS STATED AND VOLUNTARILY SIGNS THE BOTTOM OF THE DOCUMENT WITH THEIR TYPED NAME AND EMAIL ADDRESS

Psychiatric Pre-Consult Questionnaire – Potential New Patient

I agree with all of the above and understand that this is not an all-inclusive list of all the office policies. More details are found in the registration forms provided prior to the initial comprehensive medical evaluation.

I accept and understand that this web form submission is part of an application for a non-urgent outpatient psychiatric consultation and does not constitute a doctor-patient treatment relationship. The information I am providing on this form and during my complementary 10 minute pre-consult will help Dr. Philias decide if an outpatient consultation with her is appropriate or if a different referral will better serve my needs.

If my situation is life-threatening, or an emergency that cannot wait for a response, I should call 911 or go to the nearest emergency room instead of submitting this form.

I understand that this submission will not be reviewed after hours or when our clinical psychiatric team is out of the office.

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WellMind

Expert Psychiatric Care for Aging Adults

Psychiatric care is not one-size-fits-all—especially for seniors. Dr. Philias maintains ongoing relationships with his patients, monitoring for changes in behavior, cognition, or physical health that may require updates to their treatment.

Immediate Psychiatric Help for Postpartum Depression and Suicidal Thoughts

Postpartum Depression: When Emotional Overwhelm Becomes a Medical Emergency

Postpartum depression is not a reflection of maternal failure—it is a medical condition triggered by profound physiological, hormonal, emotional, and structural changes. When reality becomes painful, heavy, or unbearable, the correct response is clinical support, not silence.

Medication Management & Geriatric Care

In many cases, the root cause may be medication interactions, dehydration, infection, metabolic imbalance, or untreated depression. When primary care and geriatric psychiatry work together proactively, these issues can often be identified early — preventing escalation.