Mark Herbst, MD

Psychiatry, Psychopharmacology and Addiction Psychiatry


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ONE STEP CLOSERTo a Brighter Tomorrow
Mark Herbst MD
10850 Wilshire Boulevard, Suite 1260
Los Angeles, CA 90024
Tel:310.207.8880 Fax:310.826.7077
[email protected]

Helpful Forms


If you're a new patient, please complete the following forms and bring them to your first session.

  • New Patient Questionnaire
  • Consent for Treatment
  • HIPAA Authorization Form

If you would like me to coordinate care with another provider (for example, primary care physician, etc.), complete this form to authorize release of your psychiatric information:

  • Release of Medical Records Form


Note: To download Adobe Acrobat Reader for free,
click here.


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Mark Herbst and PsychiatristSites expressly disclaim all warranties and responsibilities of any kind, whether express or implied, for the accuracy or reliability of the content of any information contained in this site, and for the suitability, results, effectiveness or fitness for any particular purpose of the content. You are solely responsible for your use or reliance on such information and any foreseeable or unforeseeable consequences arising out of such use or reliance. In no event will Mark Herbst or PsychiatristSites be liable for any damages resulting from the use of or inability to use, the content, whether based on warranty, contract, tort or other legal theory, and whether or not Mark Herbst or PsychiatristSites is advised of the possibility of such damages. In no event will Mark Herbst's and PsychiatristSites's aggregate liability exceed U.S. $100.

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