Contact

If you are interested in working with Dr. Wali, please fill out the information below. Telemedicine consultations are offered throughout the United States and internationally.

Please note that Dr. Wali does not contract with any insurance plans at this time. She can offer patients a Superbill as a courtesy that can be submitted to insurance plans for reimbursement. Some patients use their HSA/FSA funds to pay for the visit.

To save time, feel free to fill out the New Patient Paperwork below in anticipation of your appointment with Dr. Wali.

New Patient Paperwork

Northern California Office:

3380 20th St #102, San Francisco, CA 94110

Southern California Office:

1001 E Chapman Avenue, Suite D, Fullerton, CA 92831

Reason for contact

Name

First Name

Last Name

Preferred Gender Pronouns

Email Address

Subject

Message

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Best Number To Reach You

Country

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