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Corinne M. Anton, Morgan B. Drake, Ryan J. Butts, and Kelli N. Triplett, as well as Thi Cao, BS and Afsaneh Rezaeizadeh, MSW, RN do not report any conflicts of interest. Dr. Trivedi does not have any conflicts of interest to report in relation to the submitted work. Dr. Trivedi does report financial activities outside of the submitted work enclosed. The VitalSign6 program was funded by the Center for Depression Research and Clinical Care. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding organization. The Intellectual Property of VitalSign6 belongs to the University of Texas Southwestern Medical Center (Dr. Trivedi). 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