Blogs

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Blogs

Take Charge of Your

mental health

1What is your first and last name and date of birth?

Services only provided to adults 18 or older at this time.

Disclaimer: Sham Singh, M.D., Inc.’s activities as they relate to this “Get Started” contact form comply with the Health Insurance Portability and Accountability Act (“HIPAA”). Information collected via this “Get Started” form is transmitted and stored using an encrypted, HIPAA-compliant portal and is subject to Sham Singh, M.D., Inc.’s privacy and security policies and procedures.

Information sent to us via this “Get Started” form does not establish a provider-patient relationship, or any duty for Sham Singh, M.D., Inc. to follow up with you.

In a medical or psychiatric emergency, call 911

2Insurance Information

A picture of your insurance card will help us determine whether you are in network with our clinic.

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Click here to upload the front of your card

File should be less than 5MB!
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Click here to upload the back of your card

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Front of your card

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Back of your card

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3Have you been experiencing any of these?

3How can we reach you?