New Patient Request Form

Dr.Basu is an out of network provider. 

If your insurance provides out of network benefits, you may be reimbursed for your appointment.

Dr.Basu does NOT treat ADHD/ADD.

Adult Initial Appointments…………………………..$375

Adult Follow Up Appointments…………………….$275

Please check here to acknowledge that you understand that Dr.Basu does not accept insurance

Please Note: This constitutes a request for an appointment and does not establish a doctor-patient relationship. 

Email

admin@basupsychiatry.com

Phone

914-721-9607