NEW APPOINTMENT REQUEST FORM

The form below is intended for new patients only. 

Please provide as much information as possible, including a brief overview of past psychiatric treatment. Please also indicate your choices of appointment times. 

If you are looking for an appointment within a specific date range, please indicate it here:

* indicates a required field

Harmony Mental Health Services of NW
Elia Gonzalez-Rodriguez, M.D.
1498 S.E. Tech Center Place Suite 110
Vancouver, Washington 98683

w. https://www.eliagonzalezrodriguezmd.com/
m. https://goo.gl/maps/hhbw3uX75Bepb9zeA

(360) 773-6340

(360) 326-2606 fax

Open Hours:

Monday 9am-5pm

Tuesday 9am-5pm

Wednesday 9am-5pm

Thursday 9am-5pm

Friday 9am-5pm

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©2020 Harmony Mental Health Services of NW