Appointment Information                             Forms

Call 408-767-2337 or email Info@gilroymentalhealth.com for more information.  
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Coronavirus Update 04/02/20:
All Appointments are changed to Telehealth: video or phone.

Video Appointment Instructions:

1.  Complete the Consent Form for TeleHealth:

• Complete the Tele-psychiatry consent form and email the signed form to: info@gilroymentalhealth.com before the appointment time.

     
         OR

• If you are a current patient and have access to Luminello (the health record system I use), you can easily electronically sign the consent form under the "Documents" tab.  

2.  Join the Telehealth Video Platform:

• At your appointment time, click the link below and enter your name when prompted and I will see that you are ready and open the video call. That's it! 

​                           https://doxy.me/kerstinnp

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Insurance

In-Network Insurance Plans in California:

• Anthem Blue Cross
• Cigna​
• United Healthcare, Optum, and subsidiaries (eg: Sutter Health, AARP Medicare)
• Aetna and subsidiaries (eg: Meritain)
• ​Medicare (Northern California Region)

​*Please note, I am not in-network with any medicaid or Medi-Cal plans. ​

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Fees

 Insurance  works when insurance companies contract with providers to reimburse all or part of the fees; contracted fees vary by insurance company. 
Fees:

• ​​Psychiatric Evaluation (first appointment)   $275
• 30 Minute or less Follow-up Appointment   $150
• 45-50 Minute Follow-up Appointment           $200
• No show or late cancellation fee  (24 hr)        $125

​Payment Options:

• Cash
• Check
• Credit, Debit, or HSA (Health Savings Account) card 

​​​Additional Information:

• ​Expect the first appointment to be about 60 minutes as it takes some time to get to know you and discuss treatments that can help.
• After the first meeting, appointments are typically 40-60 minutes. 
• To help us get started faster, prior to your first appointment, please print and complete the paper work in the Forms section on this page and bring them with you to the first appointment​​.

• New Patient Forms: Complete these forms and bring to your first appt.

• Release of Information Form: Complete this form to share records or information with people involved in your care or for records from previous providers.
• TelePsychiatry Consent Form Consent form for tele-health or video appointment.  
• HIPAA Notice of Privacy Practices 

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Prescriptions

Most mental health medications don't fall into this category, Please note, unfortunately, because some medications, called controlled substances, have a high risk for abuse or misuse, getting high, or for overdose, I  prescribe limited controlled substances and only at very low doses for anxiety medications, such as Klonopin (clonazepam) or Ativan (lorazepam), and doses within the usual range for stimulants such as Adderall (amphetamine/dextroamphetamine) or Ritalin (methylphenidate) ie: not high doses.

*I don't prescribe Xanax (alprazolam) at all. 

For adult new patients wanting evaluation for ADHD,  neuropsychological testing to confirm deficits and a negative drug screen is required before stimulant medication is considered and please understand that stimulants are not an appropriate medication for all people with ADHD.  

If you are taking these types of medications outside the range that I prescribe, we can meet at an appointment to discuss the symptoms and treatment options, but I frequently will not take over prescribing the medications. I am also unable to accept new patients who want to taper off these medications.

Disability Forms

I am not able to determine disability and do not complete any type of disability or off work forms for current or new patients. 

Gilroy Office

8339 CHURCH STREET,  SUITE 114,  GILROY, CA 95020
Phone 408-767-2337   Fax 415-376-4572
Info@gilroymentalhealth.com
​Gilroymentalhealth.com