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Consult Request Form
For Ascension Psychiatry (St. Marys)
View monthly schedule
Contact our support team
(346) 888-4204
On WEEKDAYS from 9AM to 6PM
(281) 984-4279
On WEEKENDS (FRIDAY 6PM to MONDAY 9AM) & WEEKDAYS (6PM to 9AM)
Facilities (Amita Psy STM)
The doctor on schedule is
Dr. Vik Gill
.
Return Contact Phone Number
Ext.
Person requesting consult
Your email
We will send a tracking URL to this email for you to be able to see real-time updates for this consult.
Is the interpreter required for this consultation?
YES
NO
Consult Type
Floor
ER
Phone
No PHI (no name, MRN, room number etc)
60 characters maximum
Submit Patient Request
