New Pediatric Patients
We are excited that you have chosen Asma Sadiq, MD for your child's medical care. Your comfort and convenience are our priority, and we strive to make every visit to our office a positive experience. To help you get acquainted with our office and first visit procedures, we have included helpful information on this page.
Patient Portal & Forms
Please request an appointment on-line or call the office at (201) 408-477 or (646) 343-9070 for a appointment. On providing your e-mail address, You will be sent a personlized code to activate your personal patient portal.
Prior to your child's first visit, parents are requested to complete the New Patient Questionare plus scan and e-mail copies of previous evaluations and relevant reports to [email protected] or faxed to (201) 408-4661. Other consent and Hippa forms can be downloaded and completed as well.
To expedite your first appointment, please arrive a few minutes early to complete registration forms so that we have all the necessary information to treat your child.
Established patients are requested to complete the Medical update form prior to a follow-up visit and either scan / e-mail or bring additional relevant reports them with you to the appointment.
Please click here to access the portal: Portal Link
Patient Intake Form
Medical Release Form
HIPAA / Prescription Consent Form
Assignment of Benefits Form
Office Policy on Insurance and Payments
Vanderbilt Parent Informant
Vanderbilt Teacher Informant
Vanderbilt Follow Up Parent
Vanderbilt Follow Up Teacher
Preschool Teacher Evaluation
School Age Report Form
Side Effect Rating Scale
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.