How to contact me — Mike Weeks MD

Contact page

Please allow up to 5 business days for a response. Regrettably, I cannot maintain a waiting list due to the limited turnover of patients in my practice.

Name

First Name

Last Name

Preferred name, if different than above

Date of Birth (for identification only)

YYYY

Gender (for identification only)

Phone (where I can call you back)

(###)

###

####

Is it okay to email you or leave a message at this number?

Yes

Briefly describe your reason for seeking treatment.

I am looking for:

therapy only

therapy, combined with medication management

unsure

Payment will be processed either through insurance coverage or via out-of-network agreements. Please furnish the necessary details for the chosen method.

Privacy notice

Please be advised that the information submitted through this form will be sent to Dr. Weeks' email account, which uses industry-standard 128-bit encryption. Unfortunately, all email carries some risk of interception and therefore the security and confidentiality of email communication cannot be fully guaranteed.

I understand the privacy limitations of email communication.