Westside Medical Associates LLP

Westside Medical Home

EMAIL APPOINTMENTS

Services Provided

Travel Medicine

Gastroenterology

Prevention

Referrals

FORMS

Media / Public Speaking

Old Fashioned Medicine With a Modern Sensibility

Below there is a list of our most commonly filled out forms. 

If you are having a colonoscopy without seeing us first in the office, you must download and fill out the following forms.  These can be faxed to us at (212) 362-0851 or they can be mailed to us.  Please also send us a copy of your insurance card and a copy of your photo ID.  Filling out these forms will ensure that we can appropriately bill your insurance company.  In addition to the registration documents, please download the appropriate prep that was given to you on the telephone (in general Suprep on Mondays and Moviprep on Wednesdays)

Patient Registration Forms  (includes HIPAA form, Demographics, and Medical Questionaire)

Suprep Instructions

Moviprep Instructions


If you are seeing us in the office, and want to save time when you arrive, you can find the forms we need here.  Please remember that we will still need a copy of your insurance card and a form of photo ID. 


(212) 362-6468
228 West 82nd Street
New York, NY 10024