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Perimenopausal Evaluation

We are at clinical capacity and will NOT be taking menstrual-related or perimenopause-related consults until further notice.

This type of evaluation appointment is for people who are experiencing mood or anxiety symptoms associated with the transition into menopause (called perimenopause). Perimenopause can begin when a woman is in her late 30s; the average age of menopause (defined as one year past the last menstrual cycle) is 51. People may experience symptoms of depressed mood, anxiety, insomnia (sleep disruptions), hot flashes, trouble concentrating, and changes in energy up to a decade before menopause. We can help to diagnose and manage these symptoms. 

To help us provide you with a comprehensive evaluation, please provide the following at least two weeks prior to your evaluation date.

Required Records:

  • Typed summary of your care, including primary psychiatric diagnoses and medication trials to date (preferably with dates, efficacy, side effects, and reasons medication discontinued) from current (and/or past) psychiatric providers.
    We do NOT accept handwritten progress notes. Other pertinent medical records (see below) may be included.
  • Psychiatrists, psychiatric providers, and psychotherapists will need at least your verbal permission and, in most cases, your written permission in order to release a summary to us. Click here for a Release Form so that we can send our consult recommendations to your providers.
  • Perimenopausal Evaluation Questionnaire (word document file)

Preferred (if available, but not required at first appointment)

  • Typed summary of care from your treating psychotherapist.

How to Send Required Records to the Johns Hopkins Reproductive Mental Health Center

  • Please email Allison Craig at; she will email you a secure link to send your information.
  • Alternatively, you may fax materials to to 410-502-3755, Attention: Johns Hopkins Reproductive Mental Health Center, using the cover sheet: Download Fax Cover Sheet


You are responsible for contacting your insurance company in order to obtain any necessary authorization for this appointment. The Johns Hopkins Department of Psychiatry and Behavioral Sciences contracts with many but not all insurance companies. Therefore, you should personally verify your mental health benefits, in particular, a one-time outpatient psychiatry visit. For patients who have insurance from companies with whom we do not have a contract, we require payment in full at the time of visit.

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