Forms

Please fill out and bring to your first appointment. Please keep a copy of the HIPPA form for yourself.

Please fill out and return as needed.

*For initial appointment inquiries and document sharing landpsychiatry@gmail.com

*Please use phone 310-428-2833 for clinical treatment questions and concerns.

SUITE #302
2001 S. BARRINGTON AVE.
LOS ANGELES, CA 90025

TEL (310) 428-2833
FAX (888) 558-6693