New Patient Forms

Required Patient Forms

New Patients

We WELCOME new patients to this practice at both of our locations- Mullica Hill and Vineland.

New patients will need to fill this registration form that can be faxed to us or brought at time of the visit.

Accepting new patients with most insurances and cash-pay. All forms of payment accespted.

Walk-in patients welcome!
Sick Visits seen same day on a priority basis. Few open spots left everyday just for this purpose.

Same day appointment available on most days.
Evening hours on Mondays till 6:00pm.
Early Hours on Mondays
Tuesdays and fridays at 7:30 am.
To request transfer of your records to us, please print and fill out this form and send to your current/previous medical providers or other healthcare providers.

Please call (856) 478-2111 or e-mail us for any questions or details.

Adobe PDF
All forms are in PDF format.Click logo to download reader.


Testimonials

Dr. Malik is the first doctor I have had in 49 years that has great bed side manners, he listens to what you are telling him, he treats you with respect and not like you are just another number but most of all he spend the time with you and he is the best at diagnosing your concern. In the years I have been a patient of his I never had to return because of something he wasnt sure of or was not corrected in the first visit. He has opened my eyes to benefits of vitamins and horomonal therapy. After blood results he went over my defecentcies and started me off in therapy and I havent felt this good in years!!!!
February 10th, 2015
Thank you Dr. Malik and Staff
Great experience. Dr listened, asked questions and was very knowledgeable. I would highly recommend (have done so, and others agree with my experience).
December 19th, 2010
Wonderful manner - very competent
Dr. Malik is the first doctor I have had in 49 years that has great bed side manners, he listens to what you are telling him, he treats you with respect and not like you are just another number but most of all he spend the time with you and he is the best at diagnosing your concern. In the years I have been a patient of his I never had to return because of something he wasnt sure of or was not corrected in the first visit. He has opened my eyes to benefits of vitamins and horomonal therapy. After blood results he went over my defecentcies and started me off in therapy and I havent felt this good in years!!!!
February 10th, 2015
Thank you Dr. Malik and Staff
Contact Us:

201 Bridgeton Pike • Mullica Hill, NJ 08062
Telephone: (856) 478-2111
Fax: (856) 478-4709
E-mail: info@muhima.com

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