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Intake Form

Intake form.pdf

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Authorization for use and disclosure of health information

AUTHORIZATION FOR USE AND DISCLOSURE OF

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Please note that I am on sabbatical until Winter 2021 and am not currently accepting new referrals.

I regret that I no longer provide ongoing treatment. My practice is now limited to second opinions and consultations.

Special Experience

Complex diagnostic and treatment questions in children, adolescents, students & young adults.
Work with parents to address their own needs and those of their children
Treatment of Depression and Anxiety
Mental health challenges accompanying medical illness
Clinical teaching & consultation for trainees and colleagues in Mental Health
Consultation to Pediatric, Adolescent Medicine, Primary Care clinicians & clinical teams

Mailing Address:

265 Cambridge Avenue, #60879

Palo Alto, CA 94306

Phone:

(650) 521-0028