Frequently Asked Questions

How do I make an appointment?

You may make an appointment by emailing Dr. D'Souza at

What's involved with the first appointment?

Initial appointments are booked for 1 hour. This is to provide ample time to discuss your presenting complaint in detail, get to know you as a person, and perform a complete history of your health, osteopathic examination, and preliminary osteopathic treatment.

Most issues, especially those that are longstanding, will require a follow up. Even for those who do not have particular complaints and are presenting for lifestyle treatment, follow up is helpful in identifying obstacles in implementing changes and assuring success. For pain related complaints, follow up is important for establishing osteopathic patterns that can keep the patient pain free.

Does DOMA take Medicare patients?

Currently, due to Medicare rules, DOMA is unable to take patients who are enrolled in Medicare. If you are enrolled in Medicare and wish to become a patient of DOMA, please leave send an email to and we will notify you if this situation changes.

How are appointments charged?

DOMA is a direct patient care practice. This means that we interact with you as a patient directly, and have an interest solely in you as a patient, not in how your insurance pays for services. Patients are charged directly and will receive a bill. You may pay by cash, HSA, credit/debit card, or money order made payable to D'Souza Osteopathic Medical Arts. We do not accept checks.

Upon request you may receive a superbill that you can submit to your insurance for reimbursement of payment. Reimbursement rates vary by insurance. Inquire with your plan regarding details of reimbursement.

What are your rates?

Rates are based off of time spent with the patient on an as needed basis. In person visits are charged in 30 minute blocks at a rate of $150 per block. Initial visits are mandatory 1 hour. Most follow ups may be scheduled for 30 minutes depending on the level of complexity.
Telemedicine visits are charged in 15 minute blocks at a rate of $100 per block.
As scheduling permits all sessions may be extended on an as needed basis

Does Dr. D'Souza perform labwork/imaging?

Dr. D'Souza is a fully licensed physician and may order lab work and imaging as determined by the proper indications.

Can Dr. D'Souza be my primary care doctor?

DOMA is an osteopathic longevity clinic and as such, does not replace the services of a primary care doctor. While there may be much overlap in practice style, such as screening tests for diabetes and cholesterol, the overall goals and orientation of each are different.

The role of a primary care doctor is to screen for various diseases and to treat them with medicines once they arise. The goal of osteopathic longevity medicine is to foster health and balance in the patient, bring about innate healing mechanisms, and remove the need for medicines in the first place. In other words, to expand and promote health-span as a means of preventing disease from occurring.

What is the process for Ketamine Therapy?

Ketamine is a powerful medicine that has been in use since the 1960's as a dissociative anesthetic. It has proven safety and is used widely for adults and children. Recent research has shown that Ketamine at lower doses has great promise as a treatment of numerous mental health conditions such as treatment resistant depression, anxiety, PTSD, and addiction.

Ketamine has also demonstrated the ability to change the way the mind perceives pain and has evidence for effectiveness with numerous chronic pain conditions.

Patients interested in this treatment must first be assessed for the proper conditions during an initial visit. You may also be referred by a primary care doctor/psychiatrist. Once the proper indications are met, Dr. D'Souza will discuss preparation for the infusion, establish goals of therapy and inform the patient as to what they can expect the treatment to feel like. Follow up integration sessions are a requirement of this treatment to optimize effects.

Many patients will experience relief after one treatment, however standard treatment plans usually need several treatments over weeks for optimal effects.

What is the process for medical marijuana/cannabis prescription?

Patients must first have a preliminary visit, either in person or via telemedicine in order to assess for indications/contraindications of medical cannabis prescription. Upon judgment by the physician that the proper conditions are met a prescription may be given. Patients must have a NY state address.

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