New Patient Form

For all new patients

Fill out this form if you are interested in being a patient in Dr. Wali's practice

Ketamine Forms

For patients (new or established) who are interested in ketamine therapy

Please review and fill out the ketamine questionnaire form if you are interested in working with Dr. Wali with ketamine

How Dr. Wali's Clinic Work

A comprehensive initial consultation takes up to 90 minutes online to establish care. If you would like to do the initial visit in-person at the clinic, then that is possible for an additional fee. The initial consultation includes the time Dr. Wali takes beforehand to review any lab data you have done, go over your health questionnaire in detail and formulate a comprehensive health plan for you. After that, Dr. Wali offers telemedicine appointments in 30, 60 and 90 minute slots. In-person office rates also available for an additional fee.

Please use the contact form to inquire about current rates.

Accepted Insurance

Because of the time and attention that Dr. Wali spens with each patient, insurance is not accepted. Dr. Wali can offer patients a Superbill as a courtesy that can be given to your insurance company for reimbursement.