Please, do not bother here whether you are first time, or renewal. Recently, I was planning on getting my first recommendation ever. I went on a different website that recommended this office. Thankfully after I made an appointment I did a little more research and found a much better place. (Greensight in Rancho Mirage) Why you can do better: -The evaluation is $100, which is almost double other clinics. (mine was $60) -Being a first time patient I was nervous about calling. The person who answered, Rich, sounded like he could not be anymore bored or uninterested. At Greensight the staff was friendly, welcoming, and very informative. -The doctor for recommendations is only there 2 times a week. Thursdays and Sundays. They also require you to take a pre-qualifying test, and make an appointment to go in. It is an unnecessary hassle to go through! Especially when many other doctor's are available all week long, and offer walk-ins.