Manhattan Women's Health and Wellness
  • MIDTOWN 51 EAST 25TH STE 451 New York, NY 10010
  • UPPER EAST SIDE 983 PARK AVE, STE 1D17 New York, NY 10028
  • UNION SQUARE 55 W. 17TH ST STE 104 New York, NY 10011

If you’re planning your first visit to one of our gynecologists, 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 Manhattan Women’s Health & Wellness locations, including Downtown, Midtown or Upper East Side.

Updated on Jul 8, 2021 by Dr. Fernando Mariz (Gynecologist), Manhattan Women’s Health and Wellness
Best-in-class New York Gynecology Clinic

Manhattan Specialty Care in the Press

Press Manhattan Women’s Health and Wellness

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
DISCLAIMER: PLEASE READ CAREFULLY The information on this website is to provide general information. The information on this website does NOT reflect definitive medical advice, and self-diagnoses should not be made based on information obtained online. It is important to consult a physician for a consultation and examination regarding any symptoms or signs you may be having. Your physician should make an accurate diagnosis and treatment plan to exclude a serious condition.