Appointment Request

Thank you for considering this practice as your partner in comprehensive health care and personal wellness.

New patients are encouraged to contact the office by emailing the office directly at the following email address: 

[email protected]

You may also fill our the form at the end of this page. Please also leave a voicemail message on the main office number with your email address if you do not receive an email response with the new patient packet within 24 hours. 

The office phone number is 925-784-4000.

A new patient packet will be emailed to you shortly after contacting the office.

Generally, contacting the office electronically via email is the most rapid way of establishing a new patient appointment.

Once you receive the new patient packet, please complete the forms and either fax the completed packet (all pages) to the office or you may scan and email the .pdf to the office.

The office fax number is 925-426-0085.

Once the packet is returned to the office, it will be reviewed and put into queue for scheduling. You will be contacted by email with the proposed new patient appointment date and time. You are also encouraged to contact the office via this website or by email to check on the status of your new appointment.

24 HOUR CRISIS LINE: 1-800-309-2131



Note: To download Adobe Acrobat Reader for free, click here

 *Website Content Copyright 2022 CNS Medical Group, APMC. All Rights Reserved* 

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.