New Patients & Forms

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-

English:

Español:

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:


74-075 El Paseo, Suite B-1

Palm Desert, CA, 92260

Tel:  760-668-5598

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.*

Insurances

 

Anthem Blue Cross/Blue Shield

United Health Care (Optum only)

Tricare

We are currently working on accepting other insurances.

Cash payment patients accepted as well.

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