858-279-1223
(858) 279-1223

New Patients

***If you or someone you know is experiencing a medical or psychiatric emergency, please call 911 or go to your nearest emergency room. This form is used for routine appointments only.***

Please complete this form and an intake representative will review your submission and contact you within 1-2 business days to discuss services.

This form is not a guarantee of services.

View Form