For Patients

Forms for Lenox Hill Human Reproduction Patients


If you are a new patient, you and your partner (if applicable) will need to fill out the below forms. Once the forms are open, print them and complete the required information prior to your appointment. Please bring the completed forms with you on the day of your appointment so that our physicians can review your information.


To request copies of your medical records please download the following form and carefully follow the attached instructions. Once complete, please fax to 212-327-2229. We will do our best to ensure your request is processed in a timely manner.