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

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

We accept the following insurances: Aetna, Cigna, Multiplan/PHCS, Tricare and UnitedHealthcare*

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

Clinic Intake Forms

Click the links below to access our online intake:

New Patient Forms

Release of Information

Telehealth Informed Consent

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

  • Email:
  • 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!