Request an appointment

Questions about telepsychiatry, ADHD testing or scheduling? Send us a message or call, and we’ll get back to you within one business day.

Tell us a little about you

Takes about a minute. Fields marked with an asterisk are required.

Full name

Phone

State you live in

I’m interested in

I have read and agree to the medication refill terms, including the $30 refill fee charged to my card on file.

Refills are for established patients. Please list the medication, dose and your pharmacy in the message box.

Preferred provider

Best way to reach you

Phone Email Text message

What would you like help with? (optional)

A sentence or two is plenty. Please don’t include detailed medical history; we’ll collect that securely during intake.

I understand this form is not for emergencies, and I agree to be contacted about my request.

Your information goes only to our office and is never sold or shared.

Office information

Phone(626) 600-8543
Medical fax(626) 228-2226
Emailoffice@frostmentalhealth.com
Virtual office hoursMon – Thu, 9:00 AM – 5:00 PM
Fri, 9:00 AM – 1:00 PM PTClosed weekends and major holidays

Already a patient? Message the office, see appointments and manage billing in the portal.

Go to Client Portal

Need help right now? Responses to this form are not monitored around the clock. If you’re in crisis or having thoughts of suicide, call or text 988, call 911, or go to the nearest emergency room.

What happens next

We reach out
Our intake coordinator contacts you within one business day.
Secure intake
You complete consents and assessments in the patient portal.
Your first visit
Meet your provider by video for a 90-minute consultation.