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Contact

500 Terry Francois St.

San Francisco, CA 94158

123-456-7890 

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Request Appointment

How to request an initial appointment

  1. Please submit the requested information through the confidential gateway after which you will be contacted via email no later than the next business day. 

  2. You will receive an email inviting you to our practice platform called “Osmind” followed by 2 emails containing the 2 required forms.  

  3. After reviewing the completed confidential forms you will be contacted via email to set up a call for either scheduling or referral. 

If, after you submit the comprehensive confidential forms, we find another service will be a better fit, we will coordinate a complimentary call to discuss those options. 

An initial appointment request or submission of forms does not guarantee an initial appointment. Please be aware that our practice does not make or review communications outside of our business hours. For emergencies please call 911.

Thanks for sending your application. We will be in contact shortly

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