Now accepting new patients

Getting Help Should Be Easy

Fill out the short form and a real person from our care team will call you within one business day to schedule your first appointment.

1

About You

2

Care & Plan

3

Final Step

Step 1 of 3

Tell Us About Yourself

We'll use this to reach you and match you with the right clinician. Fields marked * are required.

Your Details

First Name *

Last Name *

Date of Birth *

Phone Number *

Email — optional

Preferred Language

Home Address — optional

Identity Verification

Member ID — optional

Medi-Cal ID — optional

Social Security Number — optional

🔒 Completely optional. Transmitted securely — never stored on this website.

Step 2 of 3

Your Plan & Care Needs

Select your health plan and what kind of support you're looking for. Not sure? Pick your best guess — we'll help from there.

Your Health Plan

Health Plan *

✓

—

What Are You Looking For?

🗣️

Therapy / Counseling

Individual, group, or family sessions

🧠

Psychiatry

Medication evaluation & management

🤷

Not Sure

We'll help figure it out together

Preferred Location

📍

Fremont

In-person clinic

📍

Burlingame

In-person clinic

💻

Telehealth

California only

A Little More

Can we leave a voicemail if you don't answer? *

📬Yes please

🔇No voicemail

💬Text instead

Reason for Referral — optional

Step 3 of 3

Almost Done

Just one last thing before we get you connected to care.

Your Consent

✓

You're All Set

Your request has been received. A Wellity care coordinator will call you within one business day.

Questions? Call us at (510) 952-1190 — Mon–Fri, 8am–6pm.

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