The office is open, by appointment only. We are seeing patients in-person and though Telepsychiatry. Please complete all of the following forms before your appointment. If you are unable to submit your paperwork in advance, please call our office and ask to speak to a receptionist for assistance.

-Click Below to View and Download Forms-

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English:

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• Patient History Forms

• Referral Form

• New Patient Policy

• HIPAA Medical Release Form

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Español:

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• Historia del Paciente

• Nueva Política del Paciente

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In order for us to review your information in a timely manner, please mail or fax all of the above forms to our office so that we may receive them two days before your scheduled appointment:

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74133 El Paseo, St 3

Palm Desert, CA, 92260

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Tel:  805-540-0279

Fax: 805-439-1070

What to bring to your appointment:
Insurance Card*
Driver’s License/Identification Card
Current Medication List

*Please note that if you are unable to provide your insurance card, you will be responsible to pay in full for the provided service.*