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
Robert, S

You are the bomb! That's what the young kids say today about something that is simply the best, over the top, outstanding.  I was your 3rd and last robotic prostatectomy on Wednesday, Dec. 5th at Mt. Sinai Hospital and you had a tough time locating the walnut-sized gland...

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R. P., New York, USA

From the time I arrived at Mount Sinai for my operation until the time I left for home, about 26 hours later, I was treated efficiently, professionally, and compassionately by all I came in contact with...

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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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Ann, G

My husband and I have been extolling the virtues of Dr. David Samadi and Mt. Sinai Hospital since my husband’s robotic prostatectomy March 11, 2009, and we thought you would like to know of our positive experience...

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