Meet with a doctor over video for diagnosis and treatment of depression.

Book a Video Appointment to start the diagnosis process.

The first step is the same for patients who have a previous or existing depression diagnosis as well as patients who suspect they may have depression but have never been diagnosed.

HIPAA compliant

Available over video and in person

LegitScript certified

Fully licensed medical practice

Availabilities within 7d

I hear you - this is what we can do.

Dr. Ixchel Alvarez

What to expect.

Please read through the FAQ for more information, including guidelines about who is a good fit for depression diagnosis and care through our practice.

Depression FAQs

Comprehensive Anxiety / Depression Assessment over video

Same-day or next-day appointment availability

If diagnosed, SSRI medication prescriptions are available as a treatment option

Licensed psychiatrist supervisors on staff

As a primary care practice, we can treat you for many other conditions as well, streamlining your medical experience.

In network with most PPO insurance plans.

Step-by-Step Timeline

Please take a minute to review our FAQ and make sure that you are a good candidate for treatment through our practice before you book your appointment.

2 min

Book an appointment online

Select your state of residence, pick a provider and time, and confirm your insurance coverage for your real-time estimated costs before you finalize your appointment.

2-3 min

Download the app and prepare for your appointment

Download the app right after you book your appointment, and you’ll receive a few questionnaires to complete prior to your visit.

15-30 min

Complete your first appointment and start treatment

A few minutes before your scheduled appointment time, you will receive a link in the in-app chat to join the video call. Make sure that you are in an area with a strong cellular connection.

If you are a good candidate for care, your provider will then discuss your treatment plan. Again, be sure to read through the FAQ to make sure that you are a good candidate for care before booking your appointment.

Your provider will send any prescriptions to your preferred pharmacy, and we will alert you in the app when your prescription is ready for pick-up. This can take up to 24 hours after your appointment.

Replies within 24 hours

Continue care through Circle Medical

You can manage your regular follow-ups by booking and rescheduling your appointments through the app. If you have any questions or need to contact your provider, use our in-app chat to message your care team.

With Circle Medical, your care doesn't have to stop with behavioral health.

As a fully-licensed primary care practice, we know that treating depression is just one piece of making you healthy. Our 70+ providers offer annual checkups, on demand video appointments, and specialist referrals, and more.

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70+ providers to choose from.

Our providers are vetted according to strict quality of care protocols determined by UCSF.

Dr. Nikki Tsang

Board Certified, Family Medicine, 13 years of experience

Dr. Andrew Wang

Board Certified, Family Medicine, 4 years of experience

Jennifer Herrera, PA-C

Board Certified, Family Medicine, 6 years of experience

Caitlin Swift, FNP-C

Board Certified, Family Medicine, 3 years of experience

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Held to a higher standard of care by one of the top 10 hospitals in the country.

Our affiliation with UCSF is more than just a partnership. Our providers must hit specific patient care metrics and consistently deliver the highest possible level of care.

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Frequently Asked

Anxiety / Depression Treatment

Can I get diagnosed with Generalized anxiety disorder (GAD) through Circle?

Yes, our providers are able to provide a comprehensive assessment and diagnosis of GAD and write the appropriate prescriptions. If you are diagnosed by one of our providers, we are able to provide ongoing treatment in the form of regular check-ins and medication prescriptions.

Please note that booking and paying for a video appointment with one of our providers does not guarantee that you will be given a "confirmed" diagnosis. We encourage you to read through this entire FAQ before booking an appointment, to ensure that our practice is a good fit for you.

Who is a good fit for anxiety medication management through Circle?

Our goal as a primary care practice is to make behavioral healthcare more accessible and integrated with primary care. However, primary care has its limitations and this means that receiving behavioral health treatment through Circle Medical is not for everybody. Please read the following carefully to understand whether Circle Medical may be a good fit for you.

You are a good candidate for receiving a comprehensive behavioral health assessment and/or treatment through Circle Medical if:

- You have previously been on medication for anxiety, depression, and/or ADHD and found that it worked well for you in the past.
- You have not tried medication before but you are ready to work with a provider to find the best treatment plan for you. You understand that there may be mild side effects from medication and you are willing to work through these side effects.
- You believe you may have mild to moderate anxiety, depression, and/or ADHD and would like to receive a comprehensive assessment.

Circle Medical is a primary care practice, which means that we are not able to treat more complex behavioral health cases. Circle is not a good fit for you if:

- You are regularly taking benzodiazepines for other treatment (such as Klonopin or Xanax)
- You are regularly taking opioids for other treatment
- You have a more complex mental health history that may require psychiatric expertise in order to treat safely (this can include hospitalizations related to mental health and/or having bipolar disorder)
- You have tried taking at least 3 different medications for anxiety/depression before and did not tolerate the side effects of treatment

What states do you operate in?

To see a list of states, please start booking an appointment. You will be able to select from all of the lists where we are currently practicing.

You must be currently residing in the state of treatment as well as have your primary pharmacy be in that same state in order to be a patient at our practice.

Providers

Am I seeing a psychiatrist through Circle?

Our providers are primary care providers (MD's/DO's, NP's, and PA's) who have received specialized training for behavioral health treatment. They are trained by psychiatrists to ensure a high standard of care, but they are not psychiatrists themselves.

Although it is a commonly accepted practice for many primary care providers to refer their patients to psychiatrists for anxiety and/or depression diagnosis and treatment, primary care providers are actually also able to diagnose and treat mild to moderate forms of anxiety and depression themselves. If you have mild to moderate anxiety and/or depression, you can benefit from having your care managed by your primary care provider at Circle while getting access to all of the general practitioner services you would find at your normal doctor's office.

More complex cases will require psychiatrists to diagnose. We encourage you to please read through this entire FAQ to make sure our practice is a good fit for your needs before you book a medical appointment with a provider.

Do I need to book my appointment with a doctor (MD or DO), or can I book my appointment with any provider (PA-C, NP, etc)?

You do not need to book your initial appointment with a doctor. You can book your appointment with any provider that we have available. Our providers all work closely together to make sure that we are providing the same excellent standard of care to all patients regardless of which provider you book your appointment with.

How long are the appointments?

The first intake appointment is 30 minutes. Follow-up appointments are 20 minutes each.

Billing

What is the total cost of anxiety and/or depression diagnosis and treatment?

Insured

$5 - $50 average copay* 1st appointment
$5 - $50 average copay* 2nd appointment

$10 - $100* total, with $5 - $50* monthly follow-ups once stable.

*Note: Your specific copay is dependent on your health insurance coverage. We typically see patients with copays of around $0-$50 per appointment, but this can be higher if you have a high-deductible plan and have not yet hit your deductible this year. To confirm your specific copay estimate, you can click to book an appointment and you will be asked to input your insurance information so that you can receive your cost estimate before confirming the appointment.

Our ability to estimate your costs is dependent on your healthcare insurance's database, so we do not guarantee that the estimate you see is the exact amount you will be billed. For the most accurate estimate of your per-appointment costs, we recommend calling the phone number on the back of your insurance card to ask your insurance plan what your primary care appointment costs are.

Uninsured

$149 1st appointment
$100 2nd appointment

$249 total, with $100 monthly follow-ups once stable.

Insurance

What insurance do you accept?

We contract with most PPO insurance plans. If you are a California Bay Area resident, we also work with a small number of HMO plans.

To verify if we work with your insurance, simply start booking an appointment online. You will be prompted to enter your insurance details and will receive eligibility results instantly as well as an estimate of your appointment cost prior to confirming your appointment.

Some PPO plans that we currently work with are:

Anthem Blue Cross/Blue Shield, Aetna, Blue Shield of California, Cigna, Health Net, Humana, and United Healthcare.

Plans that we cannot work with are:

Unfortunately, we are unable to provide care for patients who have Medi-Cal or Medicaid insurance. This is because we are not licensed Medi-Cal or Medicaid providers, so we are not able to provide care, even if these patients choose to pay cash instead of use their insurance. If you have Medi-Cal or Medicaid, please do not book an appointment with us, as we will be unable to provide care even if you do not enter your insurance information.

Other

What do I need to do to prepare for my first appointment? Do I need to submit medical records anywhere?

If you've been diagnosed with anxiety and/or depression before and have your diagnosis paperwork available, you can email it to records@circlemedical.com. Be sure to use the same email address that you used to sign up when booking your appointment.

Note: This step is optional. After your first visit, we will facilitate getting your medical records from your previous provider.

What happens after I am prescribed?

After you are diagnosed, if you are prescribed medications, we will coordinate sending these prescriptions to your preferred pharmacy.

You may have a 2-week follow-up if you are on a new dosage for treatment. Once your treatment has stabilized, you will have monthly follow-up appointments to maintain treatment.

If you have questions at any time, please feel free to chat with your provider and care team via our secure app.

Can I get diagnosed in my first appointment? How long does it take to have a complete diagnosis?

After you fill out the initial questionnaires sent to you, it typically takes one appointment for a diagnosis.

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Manage everything in our simple mobile app.

Appointment Summaries After Every Visit

Your provider will prepare a personalized plan for you after each visit including a diagnosis, recommendation, prescriptions and resources for additional reading.

Secure Chat with your Care Team

Have questions about your medical insurance? Notice new symptoms? Your Care Coordinator and doctor are available to talk using secure, HIPAA-compliant chat.

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