Request an Appointment

This appointment request form requires you to provide personal information for the purposes of scheduling your appointment. By completing and transmitting this form, you consent to disclose such information to a Family Psychiatry Counseling and Wellness affiliated representative. Also, general data (excluding patient identifiable information) may be used for internal analysis purposes.

If you prefer to request an appointment by telephone, please contact our office directly at (805) 341-3416 during normal business hours.

(805) 341-3416
Monday - Friday, 9:00am - 6:00pm


31194 La Baya Drive
Suite 202
Westlake Village, CA 91362


30851 Agoura Road
Suite 304
Agoura Hills, CA 91301


© 2020 Family Psychiatry Counseling and Wellness.