Appointment Request

Please fill out the form below or give me a call for more information about Sunnyvale Psychiatry's services.  I would be happy to speak with you by phone about the kind of assistance you seek.  Once you have a chance to tell me by phone what you are looking for, if it sounds like I can help you, we can schedule an appointment for an evaluation.  This site is not compliant with the privacy guidelines for medical records or confidential information, and I cannot protect any information you send in the ways that I would if you were a patient seeing me in the office, so please do not disclose personal information with your request or by email.  I only use this site and email to schedule appointments or take care of administrative matters.

Thank you.

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.

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