Save time at your appointment or before surgery by filling out your patient paperwork ahead of your visit. Click on the links listed below to view and print applicable patient forms. Be sure to fill them out and bring them with you on the day of your visit.
If you have questions about which forms need to be filled out, please call our office at 212‑434‑4920 so we can assist you.
No Fault Assignment of Benefits
Worker’s Compensation Information
Lenox Hill Hospital & Lenox Hill Annex (Manhattan Eye, Ear and Throat Hospital)
Lenox Hill Hospital Surgical Information Checklist
Lenox Hill Annex (Manhattan Eye, Ear and Throat Hospital) Surgical Information Checklist
SurgiCare of Manhattan
Surgical Information Checklist
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