Thank you for reaching out to continue care with Dr. Gerstner

Dr. Gerstner will continue to see clients virtually and in person at Vantage Mental Health’s Stillwater Office. He remains in-network with all current insurances. To transfer care to Vantage Mental Health with Dr. Gerstner please follow these steps:

Fill out the form below.
You will receive a welcome email from Vantage Mental Health within 48 hours.
You will also be registered with our medical record (Athena) and receive introductions to register.
We will confirm your first appointment and any additional information needed. Feel free to reach out via phone or email with any questions.

Name of Client

First Name

Last Name

Date of Birth of Client

MM

DD

YYYY

Name of Guardian if Client is Minor

First Name

Last Name

Contact Email

Contact Phone

(###)

###

####

Consents

I consent to email and phone communication from Vantage Mental Health

I consent to general records being shared from Ellie Mental Health to Vantage Mental Health to coordinate care

I would like to keep my previously scheduled time with Dr. Gerstner's new practice if possible

Additional comments or questions

Thank you for reaching out to continue care with Dr. Gerstner

Vantage Mental Health

Location

Contact