CA PMHNP License: 95011579 License: verified
NY PMHNP License: 402619 License: verified
updated 10-14-2020 Accepting new patients/clients
Sliding Scale: yes
This form helps prospective patients/clients and clinicians connect more efficiently and explore whether the requested relationship will be a good fit. As clinician skill sets, availability, and financial policies vary, this form helps ensure you find the right clinician for your needs.
If you are or believe you are experiencing a medical or psychiatric emergency, including suicidal or homicidal thinking, side effects to medication, or any other urgent or time-sensitive matter in which you need an immediate response, do not use this service. Instead call 911 or go to your closest emergency room.
The date of birth you entered is for this year, is that correct?
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