Insurance & payment options

Additional Services by Psychiatrist MD Delia Nieves-Arvelo.

Specialized Documentation & Evaluation Services
Emotional Support Animal (ESA) Letter
Typical Cost: $100 – $200
Includes:
Brief clinical consultation
Official documentation for landlords or airlines (if required)

Family and Medical Leave Act (FMLA) Paperwork
Typical Cost: $250 – $500
Includes:
Thorough review of clinical status
Completion of necessary FMLA forms for employers

Bariatric Surgery Clearance Letter
Cost: $350 – $500 (one-time evaluation + letter)
Includes:
Psychiatric evaluation to assess surgical readiness
Clearance letter provided directly to your bariatric team

N-648 Completion (Medical Certification for Disability Exceptions)
Cost: $500 – $800
Pricing based on evaluation complexity and required documentation.
Includes:
Comprehensive psychiatric assessment
Standardized cognitive testing (e.g., MMSE, MoCA, WAIS)
Scoring and interpretation of results
Diagnostic report supporting the N-648 form
Completion and clinical justification for USCIS submission Additional Evaluations by MD
Pre-employment Psychiatric Clearance
Cost: $350 – $500
Includes evaluation to determine fitness for duty or job placement; formal report provided upon requestADHD Assessment (Adults & Adolescents)
Cost: $400 – $600
Includes structured clinical interview, validated ADHD rating scales, differential diagnosis, and documentation if needed

Substance Use Evaluation
Cost: $300 – $500
Includes assessment of substance use history, screening tools, clinical impression, and documentation (e.g., for legal or work purposes)

Second Opinion for Psychiatric Diagnosis or Treatment Plan
Cost: $350 – $500
Includes detailed review of previous records, comprehensive psychiatric evaluation, and written summary of findings and recommendations