Prescreening Form

We are very small practice focusing on individualized psychiatric care only and it is our goal to provide the highest level of care that this platform can provide. Every patient is not appropriate for telepsychiatry services. So it is very important for us to prescreen every patient to make sure if you can benefit from this care and if we are able to provide the care that you need.

Once you fill out the prescreening form, you will be notified via email if you have been accepted as a new patient with an appointment time and day. Prescreening form doesn't establish doctor-patient relationship.