Patient Forms

SurgiCare of Manhattan General Consent Form
Click Here: To download the SurgiCare General Consent Form

To request your records:
1) Download the NYS HIPAA release. Click Here: NYS HIPAA Release.
2) Mail the completed NYS HIPAA Release to:
SurgiCare of Manhattan
800 Second Avenue, 7th Floor
New York, NY 10017
Click Here: To download Adobe Acrobat to via PDFs