New Patients

Welcome, and thank you for your interest in becoming a new patient of mine.

Please request a time for a brief complimentary phone consultation and complete the pre-screening questionnaire below. This allows me to quickly understand whether my practice is a good fit for you or your child.

All information you submit is encrypted and transmitted through HIPAA-compliant systems. Appointment requests are reviewed individually and are not confirmed until you receive a response from me.

If no time slots are available, then I am not currently accepting new patients.

Thank you for enduring this impersonal introduction. Automating parts of this process allows me to focus my time and attention on providing thoughtful care to established patients.

If you experience any technical issues with the form, you may contact me at
earthmd@earthpsychiatry.com or 650-468-0572.