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Lexington OB/GYN Forms

Information Sheets

1 Hour Glucose Test »

3 Hour Glucose Test »

Day Surgery Instructions »

Inpatient Instructions »

Patient forms to fill out prior to office visit

First Prenatal Visit with Dr. Ho, Dr. Markoff, Dr. Nath or Dr. Shah »

First Prenatal Visit with Dr. Schweizer »

Gynecologic Visit with Dr. Ho, Dr. Markoff, Dr. Nath or Dr. Shah »

Gynecologic Visit with Dr. Schweizer »

Demographic and Insurance Forms »

Bone Density Questionnaire »

 

Hospital Pre-registration forms if you are having your baby at NYU

You will receive a packet in the mail from NYU that includes hospital pre-registration information and forms by the time you are 34 weeks pregnant. If you have not received the packet by this time, please call Mr. Brady at NYU (212) 404-4316.

Fax to:                                Mail to:
Mr. Brady                             NYU Medical Center/Tisch Hospital
212-404-3930/3931               560 First Avenue
                                           New York, NY 10016
                                           ATTN: Patient Access Room SK109

Other Forms

Notice of Privacy Practice »

Medical Records Release Form »

Credit Card Authorization Form »

Prescription Refill Request Form »