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:
Please print and fill out these forms so we can expedite your first visit:
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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Manhattan Women's Health & Wellness:
Manhattan Women's Health & Wellness (Upper East Side)
983 Park Ave, Ste 1D17, NY 10028
Manhattan Women's Health & Wellness (Midtown)
51 East 25th Street Ste 451, NY 10010
Manhattan Women's Health & Wellness (Union Square)
55 W 17th St Ste 104, NY 10011