First Name
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Last Name
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Phone
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Email Address
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Reason for Visit?
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Visit Type
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Office
Telehealth
To better understand your needs please select one of the options below. Are you looking for
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Psychiatrist (Medication Management). Psychiatrist is a medical doctor that prescribes meds and will continue to see patient long-term for med management
TMS (Transcranial Magnetic Stimulation) Consult. TMS is an FDA approved treatment for Major Depressive disorder and OCD (Obsessive compulsive disorder), for adults who have failed to benefit from 1 or more medication trials
Esketamine (SPRAVATO) consult. Spravato is a prescription medicine, used along with an antidepressant, taken by mouth to treat adults with treatment-resistant depression (TRD)
Consultation / Second opinion
New Patient
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Yes
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Date of Birth
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Month
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Day
Year
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Date
Preferred Time - PST (optional)
8am - 10am
10am - 1pm
1pm - 4pm
Preferred Day (optional)
Monday
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Terms and Conditions
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I Agree to the Terms and Conditions
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