(310) 428-2833

Forms

NEW PATIENT FORMS

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

CURRENT PATIENT FORMS

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 301
2001 S. BARRINGTON AVE.
LOS ANGELES, CA 90025

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

SUITE 109
4768 PARK GRANADA
CALABASAS, CA 91302

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

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