Patient Resources

New Patient Forms

Download all 5 forms together:

thumbnail preview of three documents

Patient Registration
Form:

thumbnail preview of document: patient registration

Patient Medical History Questionnaire:

thumbnail preview of document: medical history

Privacy
Practices:

thumbnail preview of document: privacy practices

Credit Card Authorization Form:

thumbnail preview of document: credit card authorization

2025 Annual Membership Fee:

thumbnail preview of document: 2025 annual membership fee

Insurance

Dr Verma does not accept any insurance, however for your convenience, her staff will bill your insurance for your visit and the insurance company will reimburse you directly.

Accepted Insurances

Listed are the major insurance providers we accept. For more information regarding specific plans, please call our office.

We welcome all out of network patients and courtesy bill insurance for direct reimbursement.

Contact Dr. Nadini Verma

Serving the greater Los Angeles, California area as well as the Santa Monica community, Dr. Verma specializes in various types of hormone replacement therapy and other problems many women face including adrenal fatigue, menopause, infertility, PCOS, and menstrual irregularities.

Call Dr. Verma today to book an appointment!