Easily accessible mental healthcare

New Patient Paperwork

Upon scheduling an appointment with Dr. Jazi here you will have access to the new patient forms. If you are unable to fill out the forms online you can fill them during your in person visit with Dr. Jazi.

Please find an updated copy of Dr. Jazi’s Notices of Privacy Practices.

Dr. Jazi is in network with Medicare. If you have Medicare please make sure to send his office (or bring your Medicare and ID card to your first appointment). Dr. Jazi’s practice will submit the claim and will charge your card on file, if you have any copay. The amount of co-pay is usually known only after claim submission is complete. If you don’t have Medicare please see Dr. Jazi’s fees below. Dr. Jazi can send superbills to you.

Fees

 

Initial Evaluation

 

This is designated for individuals first time visit.

60 mins | $440 | Get started

This is designated for older adults first time visit with a comprehensive cognitive evaluation.

90 mins | $660 | Get started

 

Follow-up Sessions

 

Once you’ve had your initial evaluation, follow-ups are encouraged on a regular basis. 

25 mins | $220 | Get started

 

Psychotherapy Sessions

 

Lots of conditions can be treated only by psychotherapy, Intensive Short Term Dynamic Psychotherapy is what Dr. Jazi practices to help your mental health conditions. The focus is on your emotions.

50 mins | $275
100 mins | $550 | Get started

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

 

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov/

Get started with Dr. Jazi