About
- - About
    - - About IWC
        
        We are an integrative group with contracting practitioners and staff who specialize in therapeutic interventions to help bring about positive changes, treat emotional and behavioral illness, and provide preventative services and lifestyle changes for overall wellness. Read More
    - - If you believe psychotherapy could be beneficial in your life, don’t hesitate to Contact Us.
        
        Contact Us
  - Payment Options
  - Practitioners
    - Dr. Katerina Rozakis
    - Caroline Allen
    - Dr. Velosa
    - Meredith Harris
    - Kiran C. Easwarachandran
    - Amy Kahn
    - Kathy Friend
    - Christina Garges
    - Tisa Garrison
    - Peter R. Getoff
    - Greg Konick
    - Julie DaCosta
    - Ellen Zuravel
    - Kaitlyn Pack
    - Alexandra Bletsis
    - Payal Mehta
    - Kara Jacobs
    - Renée Surcouf
    - Tania Busby
    - - Allow us to introduce you to the private practice practitioners at Insight Wellness Center.
        
        Read More
  - Therapists Join IWC
    - - Therapists Join IWC
        
        Discover your path to making a positive impact in the world of mental health and well-being. Join Insight Wellness Center and be a part of our dedicated team, where your passion and expertise can create a brighter, healthier future for individuals and communities alike. Apply Here
    - - If you believe psychotherapy could be beneficial in your life, don’t hesitate to Contact Us.
        
        Contact Us
Services
- - Psychotherapy
    
    Adults
    
    Teens 13-17
    
    Children 6-12
    
    Seniors
    
    Couples
    
    Grief Guidance
    
    Telehealth
    
    In Office
    
    Grief Support Group Events
    
    Coaching
    
    Groups and Workshops
    
    Reiki
    Specialties
    
    Anxiety
    
    Depression
    
    Trauma
    
    Stress
    
    Sleep
    
    Grief and Loss
    
    Pain
    
    Relationships
    
    Psych-oncology
    
    Bariatric Evaluations
    
    BrainTap
    
    Weight Management
    
    Mindfulness Workshops
Evaluations
Forms
More

EVENTS

Menu

About
Services
Evaluations
Forms
More

Brief Intake

"*" indicates required fields

Please share Information about yourself, preferences and requests. This will assist us in matching you with an appropriate provider/therapist.

Please select the service(s) that you would like us to assist you with*

Psychotherapy

Preop Eval (Bariatric, Kidney, Cancer)

Couples

Health & Wellness - Integrative Eval

Life Coach

Weight Loss Management Program

Grief Coach

CBD & Supplements Consultation

BrainTap

Mindfulness & Relaxation Training

EMDR

Love Language Counseling

Reiki

Other (Please Specify, group, etc..)

Other*

Demographic Information of Patient (Required, please be as complete and accurate as possible)

Name*

First Last

Email*

Address*

Street Address City State ZIP Code

Phone*

Alternate Phone Number

Who are the services for?*

Date of Birth*

MM slash DD slash YYYY

How old is the person you are inquiring about?*

Hidden

Date

MM slash DD slash YYYY

Briefly describe the reason you are seeking services.*

When did it start? How often does it happen? How does it affect your life? How have you dealt with it so far?

What would you like to accomplish?*

What is happening or is different? What stressors do you have? What do you hope will be different by seeking help?

Have you ever experienced similar or other mental health symptoms before?*

If so, what was your experience like? When did it happen? Did you get help?

What else is important to know about you?*

Family History, Concerns, Medications

Please check all that apply*

Anxiety

Depression

Grief/Loss

Hallucinations

OCD

Pain

Sleep

Physical or emotional abuse

Bipolar Disorder

Trauma (present or history)

Domestic Violence

Drug use or abuse

Eating disorder

Stress

Court appointment therapy

Alcohol abuse

Other

Other*

If you are having Suicidal Ideations please go to your nearest emergency department (Call 911 Suicide Hotline number is: 1-800-273-8255)*

No Suicidal Ideations

Suicidal Ideations in the past. Non Present

Other

Other

Have you experienced any psychiatric hospitalizations? If yes, please provide the date and reason.*

Physician's name (leave empty if none)

Psychiatrist’s name (leave empty if none)

Who Referred You?*

Please indicate your preference for a male or female therapist, or select no preference*

No Preference

Female

Male

We provide both telehealth and in-office services. If in-office services are unavailable, we will offer telehealth instead. Please indicate your preference.*

No Preference

Telehealth Preferred

Telehealth Only

In Office Preferred

In Office Only

Groups - Classes - Workshops - Education (Optional)

Grief Guidance Group

What's Your Love Language - Individual (International Mental Health Counselor)

Mindfulness Workshop

Other

Other*

Yes, I would like to subscribe to the newsletter.

CAPTCHA

Email

This field is for validation purposes and should be left unchanged.

Ready to take the first step towards your wellness?

Our intake coordinator is here to assist. Share your information, and we’ll get you going.

LET'S GET STARTED

About

About IWC
Payment Options
Practitioners
Therapists Join IWC

Preoperative Bariatric

Brief Intake

Vitamin Wellness Eval

CBD Consultation

HRV Assessment

HRV Weight Management
HRV With BrainTap

Services

Psychotherapy

Adults
Teens 13-17
Children 6-12
Seniors
Couples

Grief Guidance

Telehealth
In Office

Coaching

Groups and Workshops

Reiki

Specialities

Anxiety
Depression
Trauma
Stress
Sleep
Grief and Loss
Pain
Relationships
Psych-oncology
Bariatric Evaluations

BrainTap

Weight Management

Mindfulness Workshops

More Links

Telehealth/Office
Events
Blog
In The Media
Press Release
Frequently Asked Questions
Resources
Shop
Event Calendar
Contact Us
Privacy Policy

Contact Information

2821 Crow Canyon Rd, Suite 202 San Ramon, CA 94583 United States
925-216-3510
925-725-4332
info@insightforwellness.com

Subscribe To Our Newsletter

"*" indicates required fields

Name*

Email*

Comments

This field is for validation purposes and should be left unchanged.

Copyright © 2024

Insight Wellness Center.

All rights reserved.

Facebook Instagram Linkedin