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
Updated on Jun 23, 2020 by Dr. Fernando Mariz (Gynecologist in NYC), Manhattan Women’s Health and Wellness

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.

Dr. Fernando Mariz has either authored or reviewed and approved this content.
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book online now (212) 378-9987
Manhattan Women's Health & Wellness: Manhattan Women's Health & Wellness (Upper East Side) 983 Park Ave, Ste 1D17, NY 10028
(212) 389-1904
Manhattan Women's Health & Wellness (Midtown) 51 East 25th Street Ste 451, NY 10010
(212) 677-7654
Manhattan Women's Health & Wellness (Union Square) 55 W 17th St Ste 104, 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 and ALL symptoms or signs you may be having. An accurate diagnosis and treatment plan should only be made by your physician in order to exclude a serious condition.