Appointment Information                             Forms

   Call 408-767-2337 or email Info@gilroymentalhealth.com. 
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         All Appointments are via telehealth, video or phone.

                            Video Appointment Link:

                            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)
• 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)   $295
• Follow-up Appointments  (20-50 minutes)   $225
• 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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Disability Forms

I am not able to determine if someone is disabled for medical leave, short term or long term, or 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