Appointment Information                             Forms

Call 408-767-2337 or email Info@gilroymentalhealth.com for more information.  
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All Appointments are now tele-health: video or phone.

Video Appointment Instructions:

1.  Complete the Consent Form for Telehealth:

• Complete the Telehealth consent form  and send it back to me.

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:

• Aetna and affiliates (eg: Meritain)
• Cigna​​
• ​Medicare (Northern California Region)
• United, Optum, AARP and affiliates
• Anthem

​*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. When paying out of pocket on the date of service the fees are: 
Fees:

• ​​Psychiatric Evaluation (first appointment)   $275
• Follow-up Appointments  (20-50 minutes)   $200
• No show or late cancellation fee  (24 hr)       $125

• New Patient Forms: Complete these forms for the first appointment .

• TelePsychiatry Consent Form: Complete this form for the first tele-health appointment. 
• Release of Information Form: Only if needed, complete this form to share records or information with people involved in your care or for records from previous providers.
• ​HIPAA Notice of Privacy Practices 

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Prescriptions

Most mental health medications don't fall into this category, however: 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).

Disability Forms

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

Gilroy Office

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