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Online Patient Intake

If you are a new client, prior to coming to your appointment you will need to fill out your intake paper work before we can see you. It's easy to do at home with our secure Google Forms.

Patient Intake Form

Telehealth Forms

If you are wanting appointments via our telehealth system, you will need to fill out the Telehealth Informed Consent form before your appointment.

Telehealth Form

Established Patients

Thanks for being with us. Return here anytime. Check into your telehealth appointment, schedule yourself or leave a message with Nina in her off hours.

Patient Portal

Need to start Telehealth?
We got you covered

Fill out the telehealth form if you have not
Download/Install Zoom (Android, iOS, PC)
Wait for your regular scheduled time
Check into the online waiting room
- via SMS or Email link sent to you
- clicking “Start Appointment” here
- via Meeting ID: 660 530 3086
Wait for your provider to start the session

Nina Escobar-Petersen’s Personal Meeting Room.

Meeting ID: 660 530 3086

Start Telehealth Appointment

Fill Out Telehealth Form

Helping Us All
Reduce Risk

There is a lot of concern right now regarding the knowns and unknowns of COVID-19.

We have partnered with Zoom to provide telehealth services for our patients to accommodate, reduce risk and ensure the safety of every one of our patients in this uncertain time.