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
Mark S.

I learned a long time ago that when you need make a decision on a surgeon, do your homework. Ask questions. A knowledge understanding of your condition, accompanied with researching your doctor, will inevitably lead you to the office...

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R. H., New York, USA

"I am now a witness to the potential for change that digital technology can make in the medical industry in the hands of artists like Dr. Samadi.  The potential is Amazing!"

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E. C., New Jersey, USA

"I learned there are urologists who perform the operation hundreds of times a year; that the operation can be done with very small incisions, within the body itself, employing optical fiber technology..."

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T. C., Italy

 Posso dire che è stata una storia a lieto fine. Grazie di nuovo Dottor Samadi per aver dato luce alla mia vita.

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