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REQUEST FOR NEW PATIENT EVALUATION/SERVICES

This initial information will help me understand your basic concerns and assess whether or not my practice is an appropriate treatment source based on your current needs. It is my goal to ensure you find the help you are seeking. If it appears to be a good fit, I will follow-up with an email to discuss scheduling options. If I feel your concerns would be better addressed by another professional, I will make every effort to refer you to a trusted colleague. Please note, there are times when my caseload is full and I am unable to accommodate new patients. If this is the case, I will gladly provide referral options for you. You should expect a response within 48 hours. If you do not receive a response within this timeframe, please send me an email directly.

 
 

Office Number:  512-259-0070

Email:  dina@drdinaobrien.com