Your Visit

Getting Ready for Your Visit

Upon your first visit, please bring as many records as you can gather. This may include office notes, lab studies, imaging (ultrasound, MRI), operative reports, and pathology reports.

You should expect to be in the office for approximately two hours for a very thorough initial evaluation. Please be patient while we work together to make a comprehensive, individualized plan for you.

If you are coming for minimally invasive gynecologic surgery, fibroids, abnormal bleeding, or general gynecology, please bring records that are relevant to your condition.

Download Patient Forms

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit or fax them to us at (212) 532-4362.

All New Patients – Required Forms & Documents

• Registration Information (Updated May 2011)
• Pharmacy Information
• Notice of Privacy Practices
• Acknowledgement of Receipt of Fees and Privacy Practices (Updated November 2010)
• Review of Systems (Updated February 2011)
• General Consent to Treatment (Updated May 2011)

Additional New Patient Forms

Pelvic Pain (including women with endometriosis and vaginal pain)

• Pelvic Pain History Form

Please note: New patients suffering from chronic pelvic pain, please bring records from your current providers including the most recent progress note, operative and pathology reports, medication list, most recent ultrasound and /or MRI.  Please limit records to approximately 10 pages.

Urodynamics and Urinary Complaints

• Voiding Diary (Updated April 2011)
• Pre and Post Urodynamics Instructions (Updated May 2011)

***Please be aware. There is a $40 charge for missed appointments or cancellations with less than 24 hours notice.