Complete your intake paperwork
Your intake packet must be completed prior to your first appointment. Please complete them electronically using the portal.
If for some reason you are unable to use the portal, you may submit your paperwork using the following options.
Electronic Intake Packet
You may complete forms electronically here if you are unable to log in to the portal.
Print and complete your forms prior to your first appointment. Submit these in the 'Upload' section or by fax, and we'll contact you to schedule.
Send us your paperwork
Scan and upload documents using our HIPAA secure file uploader.
You may be asked to complete additional forms. Find them here.
If you'd like us to be able to communicate with a third party about your private health information, fill out this form with the 3rd party's contact information.
Advance Beneficiary Notice of Noncoverage
If Medicare is unlikely to cover a service (e.g. telemedicine), complete this form to let us know how you'd like us to proceed.
LUCIDITY SLEEP & PSYCHIATRY
Sleep Medicine & Mental Health Counseling ~ Vista ~ Del Mar ~ La Jolla
Portal (Current Patients)