Name *

First Name

Last Name

Phone (or Whatsapp number) *

(###)

###

####

When is generally a good time for Dr. Dhawan to call you? *

In Eastern Standard Time (EST) please

12 pm - 3 pm

3 pm - 6 pm

6 pm - 9 pm

9 pm - 12 am

What state do you live in? *

Can provide medication services to states of NY / NJ / MI / IN. Coaching may be worldwide. If you're international, you may also inquire below.

New York (NY)

New Jersey (NJ)

Michigan (MI)

Indiana (IN)

Other

What services are you interested in? *

Medication Management (NY/NJ/IN/MI only)

Lifestyle Coaching

You've gone through the main page and services page and feel we would be a good fit for your needs? *

Links at the bottom

Yes

You acknowledge Dr. Dhawan is an out-of-network psychiatrist and does not accept any insurance. *

However we can submit a superbill to your insurance company who may reimburse you using your out-of-network benefits (deductible dependent)

Yes

You acknowledge you have read through the fees for our services and this is not a barrier for you. *

*This would be if we decide to proceed after the initial 10-minute consult.

Yes: $697 for 1-hour psychiatric evaluation, $397 for 30-min follow-ups