Appointment Information Forms
All appointments are over video or phone, except for ketamine sessions. Here is the video link for every video visit: https://doxy.me/kerstinnp Here is the link to schedule an appointment: https://kerstinnp.intakeq.com/booking InsuranceIn-Network Insurance Plans in California:
*Please note, I am not in-network with any medicaid or Medi-Cal plans and due to state laws cannot see patients with this insurance. FeesInsurance 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:
Good Faith Estimate: Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a health plan or coverage, a Federal health care program, or not seeking to file a claim with their plan or coverage of their ability, upon request or at the time of scheduling health care items and services, to receive a "Good Faith Estimate" of expected charges. You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. Under the law, health care providers are required to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services.
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Electronic forms are now available through the Electronic Health Record system, let me know if you need a form sent to you.
Disability FormsI am not able to determine if someone is disabled for school or work medical leave, short term or long term, or complete any type of disability or off work/school forms.
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Gilroy Office
8339 CHURCH STREET, SUITE 114, GILROY, CA 95020
Phone 408-767-2337 Fax 415-376-4572
[email protected]
Gilroymentalhealth.com
Phone 408-767-2337 Fax 415-376-4572
[email protected]
Gilroymentalhealth.com
Copyright © Kerstin Helgason, NP, All rights reserved.