Contact Us

Use the form on the right to contact us.

You can edit the text in this area, and change where the contact form on the right submits to, by entering edit mode using the modes on the bottom right. 

1744 Alcatraz Avenue
South Berkeley, CA, 94703

510-652-1720

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Forms

Forms, forms, forms!

We are happy to complete day care, WIC, school, camp, and sport participation forms as well as immunization cards for your children at no charge. If you bring the forms to a well-child/physical visit, we will attempt to fill them out before you leave. If you bring forms at other times, please allow one week for completion. Please provide an addressed envelope if you would like us to mail you the completed form.

You may also e-mail a request to have your child's school or sports form completed. In your email, please include your child's name, date of birth, what type of form (or attach your institution's required form), your name, which office your child is seen at, and your best contact phone number.

We will charge a “rush” fee of $25 if you need forms in less than one week. There is also a fee for forms and immunization records completed a second time.



Helpful Questionnaires 

Edinburgh Postnatal Depression Scale a screening tool to assess for the likelihood of Postpartum Depression (the most common complication of childbearing) 

MCHAT a parent report screening tool used to assess the risk of Autism Spectrum Disorders (ASD)

PHQ-A a questionnaire that helps assess the level of depressive symptoms in adolescents