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

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:


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.
Ziotis, Greece

<< Έχεις καρκίνο στον προστάτη>> ,μου είπε  ο  γιατρός στο τηλέφωνο. Έχασα τον κόσμο γύρω μου.  Στεναχώρια μεγάλη. Αλλά το πείσμα μου και η υποστήριξη της οικογένειάς μου με έκαναν να γίνω καλά και να κερδίσω τον καρκίνο.

Pat G.

We are both so grateful for your continued excellent care and treatment!

Stephen, B

I want to take a moment to thank you and your wonderful medical team for my successful surgery. In October of 2011 I was diagnosed with prostate cancer, and I immediately did a lot of research into my plan for treatment...

J. B., New York, USA

"I wanted to take the opportunity to thank you for the kindness and caring that you've shown my family and most importantly my father during this difficult time"