New Patients

For all new patient inquiries, please fill out the form below.

First Name

Last Name

Email

Phone

Please provide a brief description of your goals or concerns

I understand that services are currently offered on a private-pay basis, and that I may request documentation for out-of-network reimbursement

Thank you for messaging. All new patient inquiries receive responses within 36 hours.

Please note that this form does not establish a therapeutic relationship. I will review your inquiry and follow up to discuss whether we might be a good fit for working together.

This form is not intended for crisis support or emergency situations. If you are in immediate danger or need urgent help, please call 911 or go to your nearest emergency room. You can also contact the 988 Suicide & Crisis Lifeline by dialing 988.

While your message will be handled with care, please be aware that electronic communication carries inherent privacy risks. Avoid including sensitive clinical details in this form.

JAC GRESHAM, MD

PSYCHIATRIST · PSYCHOTHERAPIST

New Patients