Please download the new patient form, read through it carefully, and provide accurate and complete information. This will maximize your useful time with the Psychiatrist and this information is used by the Psychiatrist to make treatment decisions.
Please include a copy of your insurance and ID card with the completed forms.
DISCLAIMER: A physician patient relationship is not established until completion of your first appointment. You will not be considered a patient of Ashish Rungta MD PLLC or its psychiatrists until then. Completing these forms does not guarantee an appointment. If we determine our services are not adequate to meet the level of care required, we will notify you as soon as possible.