This is a contact page with some basic contact information and a contact form.

Doctors Hours
Monday 9-5
Tuesday 12-8
Wednesday 9-3
Thursday 9-3
Friday Emergency Only
Saturday Call To Confirm

Office Hours
Monday 9-5
Tuesday 12-8
Wednesday 9-3
Thursday 9-3
Friday 9-3
Saturday Call To Confirm

Forms

 

For the Doctor

  1. Insurance card

  2. Photo ID

  3. Copay: we accept cash or check ONLY

  4. Current Medications: This may also be a list including dosage and quantity taken daily.

  5. List of questions to prepare for your appointment.

  6. Cancellations must be made 24 hours before appointment time or patients will be subject to a $30 cancellation fee.

For the Registered Dietitian

1. Please bring the following forms filled out to your first visit:

  • – New Patient Basic Consult

  • – Patient MNT Release Form

  • – Cancellation Policy

  • – HIPPA Privacy Practices Summary & Acknowledgment for Nutrition Services at the Medical Art Center

2. Food Journal One or more weeks worth – Not required but very helpful!
3. Vitamins/Minerals/Supplements
4. Foods/articles you have questions about – Not required
5. List of questions to prepare you for appointment – Not required but helpful

There are 2 ways you can bring a food journal:

  • Create a Login and Password on the website: My fitnesspal.com (also can access on your cell phone) and bring your login and password to the visit

  • Write in a notebook- Please include portions of food eaten, beverages, time you ate and place.
    Also include physical Activity

72 hour cancellation policy or a $100 fee will be charged

Directions
bazerbashi Primary Care Physician

FROM THE NORTH

Follow Garden State Pkwy
to NJ-35 S in Keyport.
Take exit 117 from Garden State Pkwy
13 min (13.7 mi)
Keep right, follow signs for New Jersey 35 S/Aberdeen/Hazlet- merge onto NJ-35 S
Drive to NJ-35 S in Middletown
11 min (5.7 mi)
Merge onto NJ-35 S
5 mi
Destination will be on the right

FROM THE SOUTH

Get on Garden State Pkwy North
Follow Garden State Pkwy to Red Hill Rd in Middletown.
Take exit 114 from Garden State Pkwy
10 min (10.6 mi)
Continue on Red Hill Rd. Take Kings Hwy to NJ-35 S
7 min (3.3 mi)

950 New Jersey 35
Middletown, NJ 07748