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Dr Jerrie in a Nutshell

Dr Jerrie Bezuidenhout Psychiatric Practice

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  • Patient Tools
    • Patient Details
    • Clinical Treatment Team
    • Medical Aid PMBs
    • Screening Tools
      • Adverse Childhood Experiences Questionnaire for Adults
      • Adult ADHD Screening Tool
      • Anxiety
      • Burnout Screening
      • Depression – PHQ9
      • Emotional Regulation
      • Impact of Event’s Scale – Revised
      • Insomnia Severity Index
      • OCI-R (Obsessive Compulsive Inventory – Revised)
      • Quality of Life
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Patient Tools

The Patient Tools page works with both the admin and clinical processes that are work with the various forms, questionnaires and information found below. To assist in the admin and clinical processes, the Patient Tools page contains a list with quick-links to all the different forms, questionnaires and practice information you may need. 

Forms to Complete:

Please complete the Patient Details before your first appointment with Dr Jerrie. Complete the medical aid form that is relevant to your medical aid for PMB (Prescribed Minimum Benefit) applications.

  • Patient Details
  • Medical Aid PMB Forms
Clinical Questionnaires

The following are questionnaires you may need when coming to see Dr Jerrie Bezuidenhout for treatment.
Click on the links to visit the relevant pages.

Adult ADHD Screening Tool

Adverse Childhood Experiences Questionnaire for Adults

Anxiety – GAD7

Depression – PHQ9

Emotional Regulation – DERS

Impact of Event’s Scale – IES-R

Insomnia Severity Index

Quality of Live – WHODAS

 

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