Book An Appointment — South Bay Behavioral Health

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Let us know more about you and assist you in finding your right psychiatrist. Please be assured that your information is safe with us.

Name

First Name

Last Name

Date of Birth

YYYY

Phone

(###)

###

####

Subject

Insurance Name and Insurance ID

If you are paying out of pocket, type "self-pay."

Message

Are you looking for medication management? TMS? Or SPRAVATO? Are you currently (or in the past) on any medications? If so, please provide the name of your medications.

Lastly, Preferred Date and Time for Initial Appointment