Contact us.

info@lucid-psychiatry.com
(702) 483-1346

6284 South Rainbow Blvd. Suite 110
Las Vegas, NV 89118

Interest Form.

Please submit this form to request a free 15 minute phone consultation with Dr. Parikh. This free consultation will be prior to booking your appointment, to make sure that we are a good fit for one another.

Client's First and Last Name

Date of Birth

MM

DD

YYYY

Legal Guardian's First and Last Name (and relationship to client)

(required for clients under the age of 18)

Phone

(###)

###

####

Email

Address

Reason for seeking psychiatric services:

By checking this box, I acknowledge that LUCID psychiatry does NOT accept any form of insurance.

By checking this box, I agree that this request is not an emergency.

Please call 911 or head to your nearest emergency department if you are experiencing a medical or mental health emergency at this time.

Contact us.

Interest Form.

Contact

Location

Hours