Patient Forms
Save Time In Our Office By Completing This Form
The following form can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save significant time at the time of your visit. If you have any questions when filling out the forms, please do the best you can, our staff will assist you with your questions on the day of your visit.
Remember to bring in your insurance cards, referrals or any test results.
For your initial visit, please print and fill out the following four forms:
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Appointments & Consultations
Cancellations - Emergencies - Health Insurance Plans - Payment Procedures - Staff Members
To schedule an appointment at one of our offices, please call:
Same day or next day appointment requests are given, based upon availability. New patients are always welcome.
First time consultation - the patient is required to fill out a registration form, medical form and to bring all past medical records, lab tests, x-ray reports and a list of medicines. If the patient participates in an HMO or Managed Care they are required to bring a referral for all initial consultation, office visit, any procedure in the office or any surgical procedure in the hospital.
If patients don't have a proper referral for an appointment and/or surgery, the appointment and/or surgery will be cancelled. For all office procedures patients are given all of the instructions in advance.
"Dr. Sinha is a very competent surgeon. He knows what he is doing and he is up to date on the procedures he performs. Patients are very happy with Dr. Sinha and I consult with him most of the time." Sanjay Batta, M.D. - Internist
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Cancellations
If patients are unable to keep an appointment, they are expected to give at least 48 hours notice. This courtesy will make it possible to offer the appointment to another patient.
Emergencies
The Urology Care of Central New Jersey provides on-call service for emergencies, 24 hours-a-day, 7 days-a-week. Call or and Dr. Sinha will be contacted immediately.
"I have know Dr. Sinha for about seven years. He is nice professional and very reassuring. Patients are happy with Dr. Sinha's practice. I would certainly recommend a friend or relative to Dr. Sinha." Eddie Gamao, M.D. - Internist
Health Insurance Plans
The Urology Care of Central New Jersey participates with most health insurance plans. Covered procedures vary with each insurance company -- office staff assists patients in determining eligibility. Patients are responsible for deductibles, co-payments and remaining balances. Patients also have the option of paying office and surgical fees in advance and then receiving their insurance reimbursement check directly from the insurance company. Please contact our office to find out if your insurance plan is accepted.
"He is a very good efficient surgeon. Patients like him a lot and he has good bed side manners." Lucy Thalody, M.D. - Internist
Payment Procedures
Insurance co-payment is collected at the time service is provided. For any billing questions, please discuss with the office staff.
"Dr. Sinha does pretty good work and he is very responsive. Dr. Sinha calls me after every procedure and gives feedback on the patients. Patients are happy with Dr. Sinha's practice. I actually referred my brother to Dr. Sinha." M. Saraff, M.D. - Internist
Staff Members
Our staff members are fluent in English, Spanish and Hindi.
"Dr. Sinha is an excellent surgeon. I have received excellent feedback from patients. Also, I have been sending groups of friends from my country club to consult with Dr. Sinha." M. Sharma, M.D. - Internist
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