Welcome New Patients

Thank you for your interest in Sharma Primary Care, P.C.  To begin the process, please complete our New Patient Inquiry Form. Once we receive your information, a member of our office staff will review your inquiry and reach out within 2-3 weeks with current scheduling status and wait times for new patient appointments.  Please note that completing the inquiry form does not guarantee an appointment. Scheduling will depend on provider availability and current wait times.

Thank you for your patience and for considering Sharma Primary Care, P.C. for your healthcare needs.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Date Of Birth *

Phone Number *

Email

Email

Confirm Email

name our –

Insurance Provider and name of plan (ex: Highmark – Complete Blue or UPMC – Premium Network) *

Name of most recent PCP (if any) and date last seen. Please put "None" if not currently following with a PCP. *

Current Medications (do not need to put dosages or frequency). Please put "None" if not taking any medications

Chronic medical issues you would like for us to be aware of

How did you hear about our practice?

Submit