Patient Portal:

Link to Our Patient Portal: (AthenaHealth Patient Portal)

Forms:

IF YOU ARE UNABLE TO LOG INTO THE PATIENT PORTAL PLEASE USE THE LINKS BELOW TO COMPLETE THE FORMS AND FAX OR BRING THEM WITH YOU DURING YOUR NEXT VISIT.
PLEASE NOTE THAT IT CAN TAKE UPTO 5 BUSINESS DAYS TO PROCESS PAPER FORMS.

Link to Patient Registration Form: (Patient Registration Form)

Link to Outging Records Release Form: (Outgoing Record Release Form)

Link to Incoming Records Release Form: (Incoming Record Release Form)

Link to Office Financial Policy & Agreement: (Office Financial Policy)

Link to Global Maternity Financial Policy: (Global Maternity Financial Policy)

Link to HIPAA & Privacy Form: (HIPAA & Privacy Form)

Link to NYULMC HIE Patient Consent Form: (NYU HIE FORM)

Referral Lists:

Pediatricians in NYC and Brooklyn

Internist Referral List

High Risk Referral List

NYU Medical Center Information

We are affiliated with NYU Medical Center, Tisch Hospital in mid-town Manhattan.

New York University Medical Center (www.med.nyu.edu)
550 First Avenue (and 32nd Street) New York, NY 10016
NYU Directions, Maps, and Parking

NYU Contact Info:
General Information and Patient Info: 212-263-7300
Pre-surgical Testing/Pre-Admission Testing: 212-263-5985
Day Surgery 2nd Floor COOP Care: 212-263-2068
Autologous Blood Donation: 212-263-5440
Obstetric Services at NYU: www.nyubaby.org

Educational Resource Links:

• Our breast feeding class consultants: www.breastfeedingsolutions.org
• Information about TDAP (whooping cough)
• Information about Flu vaccine
• Information about Vaccine Safety