Request Appointment - SILVA PSYCHIATRIC CARE

SILVA PSYCHIATRIC CARE

MEET DR. SILVA
NEW PATIENTS
THE CONCIERGE MODEL
- WHAT IT IS
- Concierge Reviews
TELEMEDICINE
- WHAT IT IS
- HOW IT WORKS
TREATMENT PHILOSOPHY
ABOUT

REQUEST AN EVALUATION

* Indicates required field

Select *

Patient Name *

First

Last

If you are not the patient, please explain in the comments section below.

preferred telephone:

Area Code: *

###- *

-#### *

Address (TEXAS only) *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

MM/DD/YYYY

Age *

E-mail *

Please Confirm: *

Dr. Silva may use this e-mail address to notify me of appointments.

ENTER PHARMACY NAME,
and STREET ADDRESS.

All prescriptions are sent electronically

(NO INSURANCE? grocery stores are less expensive!)

PREFERRED PHARMACY *

Line 1

Line 2

City

State

Zip Code

Country

USE STREET ADDRESS. TEXAS OR MAIL-ORDER ONLY.

Select One Payment Method: *

ZELLE Online Payments Credit or Debit Card

Select only one option. To sign up for Zelle, please visit the Payments page under the ABOUT tab in the main menu above.

How Did You Hear About Silva Psychiatric Care? *

Google Search OTHER Internet Search Engine Friend / Word of Mouth Referred by Physician (please specify below:) I Am a Former Patient Referred by Caseworker, Therapist (please specify) Other (please specify below:)

Why are you seeking an evaluation? (Select all that apply.) *

Depression Anxiety Panic Attacks Bipolar Treatment/Evaluation Problems Managing Anger Problems Managing Stress Substance Abuse/Chemical Dependency Eating Disorder Other Addiction Other (not in this column)

(Select all that apply.) *

Dementia Competency/Guardianship Occupational Dysfunction/Disability Court-Ordered Evaluation Other Legal/Forensic Insomnia ADD/ADHD (children, adolescents) Adult ADD Elective Pre-Surgical Clearance (bariatric, plastic) Fitness-for-Duty Evaluation Other (not in this column)

Specific Referral Source: *

CURRENT Psychotropic Medications (include DOSAGE) *

If you are currently taking psychotropic medications, please list them here, along with their doses and indications. Otherwise, indicate "NONE."

Other Current Prescription & OTC Medications *

Include dosages and OTC (over-the-counter) medications. Indicate if "NONE."

I am interested in scheduling an appointment: *

As soon as possible: Next Available First Available (within 2-3 Days) 5-7 Days (< 1 week) 1-2 weeks

Comments *

Please include a brief description of the reason for your visit, any special needs or specific questions you may have, and the best time of the day to reach you. If you are not the patient, please explain your relationship and indicate in what capacity you are wishing to set an appointment.

Submit

SERVICES

Comprehensive Psychiatric Evaluations
Psychotropic Medication Management
Brief Counseling Sessions
Competency/Guardianship determinations
Pre-Surgical Clearances (elective bariatric and plastic surgery procedures)
Court-Mandated Evaluations
DOT Clearances
+ other fitness-for-duty and focused psychiatric evaluations
Emotional Support Animal Documentation
+ other medical endorsements

ABOUT SPC

Dr. Silva, M.D.
CV
Cost
Patient Reviews
Payment Policy
No-Show Policy
Refill Requests
Refill Policy
Privacy

SUPPORT

Contact Me
Set Up/How To
Telemed App
ZOOM Download
GoodRx/$4.00 Meds
Medical Record Copies
Medication Prior Authorizations
Patient Portal
FAQ

RESOURCES

Dr. Silva's Blog (2009)
American Psychiatric Association
Alcoholics Anonymous
Centers For Disease Control
La Hacienda Treatment Center
NAMI (National Alliance on Mental Illness)
Narcotics Anonymous
Physician's Desk Reference

MEET DR. SILVA
NEW PATIENTS
THE CONCIERGE MODEL
- WHAT IT IS
- Concierge Reviews
TELEMEDICINE
- WHAT IT IS
- HOW IT WORKS
TREATMENT PHILOSOPHY
ABOUT