New Patient InquiryIf you are interested in becoming a new patient, please fill out the form below. Name * First Name Last Name Email * Phone * (###) ### #### Whom would you like to work with? * Please select the provider whom you would like to reach out to you Zohreh Kermani, PsyD RD Dipp, DO -- Currently not accepting new patients Do you plan on using insurance? * Please indicate whether you plan on using insurance or private-pay to pay for your sessions Health Insurance Private Pay Health Insurance Plan Please only answer if you would like to use Health Insurance. What is the Health Insurance plan you would like to use? Please add secondary insurance plans if applicable. Note to the provider * Please briefly describe the reason for inquiry and what you are looking for in treatment Thank you!