Third Party Agreement



If you need to fill out a third party agreement form, please print the respective form out according to which doctor you will be seeing, and fax, email, or mail it back to us, or bring it in at the time of your appointment.

Central Coast Psychiatric Consultants

1428 Phillips Lane, Suite 102

San Luis Obispo, CA 93401

For Life-Threatening Emergencies Call 911
          Phone: (805) 545-5720
           Fax: (805) 545-5727

© 2015 by Central Coast Psychiatric Consultants. Proudly created with