Carmel-By-The-Sea
Please complete, sign, and e-mail back to Dr. Ambardar the following forms before your first online visit:
(1) New Patient Evaluation Form
(2) Please read our HIPAA Notice and sign the Acknowledgement Of Receipt form.
(3) Office Policies: Please read and sign, paying particular attention to the first page regarding Monthly Medication Management Appointments, Late Cancellations, and No Shows.
(4) Treatment Consent Form: Please read and sign.
(5) Credit Card Authorization Form: Please read and sign.
(6) Telepsychiatry & Teletherapy Consent Form: Please read and sign.
Please read about our Medication Refill Policy below before requesting an appointment. Thank you!
