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
Dr. K., New York, USA

Thanks God for a physician and a human being like Dr. Samadi. He literally saved my life and gave me and my family a chance to enjoy our lives together to the fullest. Dr. Samadi is a physician I would recommend without reservation and a man for whom I would do anything.

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The Wife, USA

The next day we went to see Dr. Samadi. In walked a tall surgeon, with a great grip when he shook hands.  He proceeded to show us what the male body looked like around the prostate, and all of the work that had to be done to make sure that Ken would come out with a fully functional body, minus his prostate.

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Holy and Rick, USA

My Husband Rick was diagnosed with prostate cancer right before Christmas 2010. He was diagnosed at the same age that his father was but his father lost his battle with cancer at age 56. I was not ready to be a widow nor my children fatherless so I needed to find the best doctor on the face of this earth.

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Judith D., USA

We liked your answer very much. No one touches my patients but me. At that moment, we knew we had found our surgeon. We have never regretted that decision for a single moment. You and your staff have a level of knowledge, experience and professionalism that is unparalleled.

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