Patient Forms


 

 

Notice of Provider Privacy Practices: This notice describes how medical information about you may be used and disclosed, and how you can get access to this information.

Acknowledgement of Receipt of Privacy Notice: In this form you acknowledge that Manhattan Sports & Spine Medicine and Surgery has given you a copy of its Privacy Notice, which explains how your health information will be handled in various situations.

New Patient Demographic Form

 

The forms are available in PDF format (Adobe Acrobat). If you need the Adobe Acrobat Reader, click here.

What we offer

Services

Location
Drew Stein MD, PLLC
57 W 57th St, 15th Floor
Midtown West

New York, NY 10019
Phone: 646-328-3945
Fax: 212-289-0171
Office Hours

Get in touch

646-328-3945