This form is not a diagnostic instrument and is only to be used within the context of your medical treatment and by you if you are greater than 18 years old. Share your checklist responses and assessment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.

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Supporting research

How was the M3 Checklist validated?

A research group from the University of North Carolina, headed by Dr. Bradley Gaynes, assisted by Joanne DeVeaugh-Geiss, MA, LPA, conducted a study of 650 patients at the UNC Family Practice Clinic. This study confirmed the validity of the M3 Checklist as a diagnostic tool, utilizing the Mini International Neuropsychiatric Interview as a standard.

How does the M3 help to ensure the correct diagnosis?

The M3 is not designed to diagnose illness on its own. Rather, it is meant to elicit symptoms that may indicate a mood or anxiety disorder. Physicians would use the M3 Screen results and the accompanying risk assessment as a basis for formulating a diagnosis and treatment. In cases where a final diagnosis is unclear, referral to a specialist may be recommended.

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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material. WhatsMyM3™ V.03.06 Copyright © 2002-2012 by M3 Information™, The M-3 Checklist and WhatsMyM3.com are free for personal home use. For any other uses, including clinical., educational, non-profit, hospital research, or for-profit settings please contact mail@m-3information.com. No further reproduction or distribution, or reverse engineering is permitted without written permission from M3 Information. Patent Pending.