Patient Information

AUA Symptom ScoreAUA Symptom Score
Sexual Health Inventory For Men (SHIM)Sexual Health Inventory for Men (SHIM)
Consent for Communication Via E-mail (Provider-Patient)Consent for Communication Via E-mail (Provider-Patient)
Patient Registration FormPatient Registration Form
Acknowledgement of Receipt of Notice of Privacy Practices (NOPP)Acknowledgement of Receipt of Notice of Privacy Practices (NOPP)
Patient History FormPatient History Form
 

Office Visit:

You can make an appointment by calling my office directly at 1-212-365-5000
212-365-5000

I will ask that you bring the following information on your first visit, if possible:

  • Prostate Specific Antigen (PSA) history. This is a screening test used to evaluate and determine whether prostate cancer exists.
  • Recent pathology slides and prostate biopsy report, which provide a scientific and medical evaluation of whether prostate cancer exists. During a biopsy, several needle punch samples are taken for analysis by a pathologist to determine the presence and aggressiveness of prostate cancer cells.
  • Nuclear medicine bone scan, or a Cat scan, if available, to determine the staging of prostate cancer development.
  • Information on medical and surgical history and current medications taken.
  • Name and address of your referring physician.
  • Medical Insurance Provider and Plan Information.




Please feel free to Contact me if you have any questions.

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Call to Make an Appointment With Dr. David Samadi:

1-212-365-5000

Click the contact link to learn how Dr. Samadi can help treat your prostate cancer and give you back your quality of life.

* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.
Testimonials
J. N. Fauta, MA, USA

My wife and I did extensive research and the name of Dr. David Samadi kept coming up as pioneer and leader in the field of robotic surgery. Dr. Samadi was everything that I had read and more, he was personable, compassionate and above all extremely professional.

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P. F.,Maplewood, New Jersey

The results of the surgery were astonishing, and after an amazingly short healing process, I had none of the incontinence or impotence that, unfortunately, is too often side effects of old-fashioned surgery...

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Rosendo M. St. Louis, MO, USA

Do not waste any time and go see Dr. Samadi.  He is the best Prostate Surgeon in the world.

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J.M., USA: Is This Any Way To Run A Doctor’s Office?

All your efforts have made a big difference to THIS patient and there is no team not even the Mets or Jets that I hold so dear to my heart. Many thanks from me, the thousands that have come before me and the many who will be treated by you in the future.

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