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
R.K. New Jersey, USA

"I would highly recommend Dr.Samadi to anyone dealing with prostate cancer".

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Bill O., New York, USA

“NO ONE HAS TO DIE OF PROSTATE CANCER EVER AGAIN! The hospital and Dr. David Samadi are the BEST! They saved my life with no pain, no strain. They can do the same for you!

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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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Theodore, W

I sit in my bed at Mt. Sinai Hospital.  It is 2:20 in the morning.  I am alive.  Patty tells me the Doctor said my surgery was a complete success.  The cancerous prostate is gone from my body...

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