Desai Health
Veterans Health Administration Referral: New Patient Intake
Veterans Health Administration Referral Clinic Intake Forms
To fully complete the online intake, complete the following forms by clicking the link below:
Veterans Health Administration Referral: New Patient Form
Complete this form if you want to allow our practice to disclose treatment or scheduling information with any other entity other than the patient/guardian:
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)
