Desai Health

New Patient Information

New Patient Information

If you are interested in becoming a new patient, please click on the “New Patient Form” link below to access our online new patient questionnaire.  


PLEASE NOTE: We do not provide treatment for the following:

  • Addictions
  • Substance use/abuse disorders
  • Eating disorders
  • Conduct disorders
  • Schizophrenic disorders
  • Personality disorders
  • Patients on multiple controlled substances
  • Court-Ordered Evaluations or Treatment

Once the New Patient form has been received and reviewed we will contact you – typically within 2 business days.

We accept New Patients for the following insurances:

  • Aetna
  • Cigna
  • Meritain (an Aetna company)
  • Multiplan/PHCS
  • Tricare 
  • UnitedHealthcare*

*We do not accept any Medicaid plans, including United Healthcare, CMS, or Florida Healthy Kids


Clinic Intake Forms

To fully complete the online intake, complete BOTH of the following forms by clicking each link below:

New Patient Forms

Telehealth Informed Consent

 

Complete this form if you want to allow our practice to disclose treatment or scheduling information with anyone other than the patient/guardian:

Release of Information

 

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

  • Email: appointments@desaihealth.com
  • Phone:+1 (904) 638-8164 
  • Fax: +1 (704) 270-6207
  • Address: 8823 San Jose Blvd, Suite 301, Jacksonville, FL 32217
  • 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!

CONTACT US TODAY