Desai Health

New Patient Information

New Patient Information

BEFORE PROCEEDING: Please note the conditions we do not accept (under Clinic Intake Forms). Also, please refer to the “Providers” page for information regarding virtual vs in-office visits and services offered.    

Insurance Participation, as listed below, subject to change. Please call the office to verify prior to submitting the new patient paperwork.

  • AETNA (EXCLUDING Aetna Better Health plans)
  • BLUE CROSS BLUE SHIELD / FLORIDA BLUE (not all providers are in-network, please call the office for more information)
  • MEDICARE (due to disability only – we do not see patients over age 60)
  • MERITAIN (an Aetna Company) 
  • TRICARE SELECT(Prime patients must get prior referral/authorization from PCP or Point of Service benefits will apply) 
  • UNITED HEALTHCARE (Commercial plans only)*

*We do not accept United HealthCare Medicare Advantage or Dual Complete. We also do not accept any Medicaid or Healthy Kids plans (including Aetna Better Health, United Healthcare, CMS, or Florida KidCare).

If you do not have insurance, or do not intend to file for out-of-network benefits, a Good Faith Estimate is available upon request.

Clinic Intake Forms 

  • Before completing the intake form, PLEASE NOTE WE DO NOT ACCEPT PATIENTS FOR/WITH:

  • Substance use/abuse 
  • On 2 or more controlled substances 
  • Eating disorders
  • Personality disorders
  • Disability/Social Security Evaluations/Treatment
  • Custody or other Legal Issues
  • Patients under 8 years old (6 for medication management) or over 60 years old

We do not get involved with custody proceedings/issues or pre-existing legal cases.

Our providers will review your submitted forms. Once the review is completed, we will contact you – usually within 2-3 business days.

New Patient Forms

Release of Information

If you have any questions or concerns about the intake process, please contact us at:

  • Email: [email protected]
  • Phone:+1 (904) 638-8164 
  • Fax: +1 (704) 270-6207
  • Administrative office hours Monday – Friday 9:00 – 5:00  (we are closed for lunch daily 12:00 – 1:00)

Make An Appointment

We look forward to hearing from you and are happy to answer any questions you may have!