If you’re planning your first visit to one of our doctors, we look forward to meeting you. To help prepare you, you’ll find all the information you need about our practice including:
Patient Forms
Please print and fill out these forms so we can expedite your first visit:
Patient Registration
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Please note: The same form should be used for any of our Women’s Health & Wellness locations including Downtown, Midtown or Upper East Side.
Updated on Jun 23, 2020 by Dr. Fernando Mariz (Gynecologist), Manhattan Women’s Health and Wellness
Best-in-class
New York Gynecology Clinic
Manhattan Specialty Care in the Press
Call now to make an appointment with our highly rated Manhattan Gynecology doctors regarding your health. We look forward to seeing you!
book online now
(212) 378-9987
New York City Locations:
Manhattan Women's Health & Wellness (Upper East Side)
983 Park Ave, Ste 1D17
New York, NY 10028
(212) 389-1904
Manhattan Women's Health & Wellness (Midtown)
51 East 25th St, Ste 451
New York, NY 10010
(212) 677-7654
Manhattan Women's Health & Wellness (Union Square)
55 W 17th St, Ste 104
New York, NY 10011
(212) 378-9985