Amita Sharma Nayyar MD, PC
Amita Nayyar, MD
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Notice of Privacy Practices
Request to Obtain/Release Records
Insurance and Self Pay details
To be completed by established patients before each Follow-Up Visit.
Welcome! How to prepare for your Initial Evaluation.
Policies and Procedures
Please review/print for your records. Contains a broad overview about Office Hours, Messages, Scheduling/Cancelling Appointments, Prescription Refills, Insurance and Fees, Confidentiality, and Record Keeping.
New Patient Medical History
To be completed by each patient PRIOR to Initial Evaluation
Credit Card Authorization