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.  Once the New Patient form has been received and reviewed we will contact you – typically within 2 business days. PLEASE REFER TO THE “PROVIDERS” PAGE FOR INFORMATION REGARDING VIRTUAL VS 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 (only for therapy or child/adolescent medication management)
  • ALLSAVERS INS CO
  • CIGNA
  • MERITAIN (an Aetna Company) (only for therapy or child/adolescent medication management)
  • OXFORD HEALTH
  • TRICARE (We are considered Out of Network (Referral/Authorization required or Point Of Service benefits apply ) 
  • UNITED HEALTHCARE (Commercial plans only)*
  • UNITED MEDICAL RESOURCES (UMR)

*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 – READ THIS FIRST:

We do not accept patients for/with the following:

  • Substance use/abuse 
  • On multiple controlled substances
  • Eating disorders 
  • Conduct disorders
  • Personality disorders
  • Disability/Social Security Evaluations
  • Court-Ordered Evaluations/Treatment
  • Patients under 6 years old or over 60 years old

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

Before clicking the link to complete the New Patient Form, please make sure you do not have one of the non-accepted conditions indicated above and that we currently accept your insurance plan.

New Patient Forms

Telehealth Informed Consent

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