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WEB New Patient - Getting Started v2 - Pleasanton

Getting Started Page One

My name is Peter Forster. I am really glad that you are interested in my practice. If you fill out a couple of this form I can answer any questions that you might have. All of the information that you share is completely confidential. 

 

The completed form will be emailed to a clinician at Gateway. As with all electronic communications, email is inherently insecure. If you want to guarantee the security of your message, please install a secure email service, like Virtru, and email our office manager directly at hershe@gatewaypsychiatric.com.
This question requires a valid email address.
How do you prefer to be contacted? *This question is required.Email is usually quite a bit quicker.