New Inquiry Form

Current availability: Limited openings for new patients

Please fill out the form below to get started. This is the first step for anyone looking for individual psychotherapy, couples counseling or consultation with Dr. Bear Korngold.

PLEASE NOTE: I am no longer accepting new Carelon/Kaiser patients in my practice.

* I am now solely a fee-for-service provider and do not take any insurance directly (though I am always able to generate a superbill for patients to seek reimbursement from insurance directly). *

If you are trying to contact me for non-therapy related reasons, you can send me a message on my basic contact form.

This form is not for emergencies. If you are in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline, 24/7) or call 911.

Mockup — demo mode. This form works exactly as the live one will, but nothing you type is sent or stored.

Full Name (required)
Message may be left at this number? (required)
Preferred contact method? (required)
What services are you interested in? (required)
Please check here to confirm you are a resident in California (required)
Insurance Reimbursement (required)

PLEASE NOTE: For ALL insurance plans, I take full payment at the time of service and can provide a SuperBill for the patient to seek out-of-network reimbursement directly from insurance. I plan to seek out-of-network reimbursement from my insurance (required)

How did you find my practice? (required)
Do you prefer in-person or video sessions? (required)

Please indicate all weekdays and times you would be available for a 50-minute appointment. I am not in the office on weekends, and rarely on Wednesdays.

Please add any additional information or questions here.

Spam check (Cloudflare Turnstile) appears here on the live site.