Medical Records


Provided below are various forms that require completion prior to records being sent out or received.  Please download the appropriate forms as directed by the physician, and/or staff, by clicking on the name of the form.

* The practice reserves the right to charge seventy-five cents ($0.75) per page for the copying services necessary to complete the request, as well as any applicable mailing fees. 

* Please understand that preparation and finalization of the medical records will take a minimum of 7-14 days.

Radiology


  • For copies of X-RAY’S / MRI’S, dated before 05-01-2010 (SVCMC) kindly contact IRONMOUNTAIN @ (800) 394-4627 EXT 331
  • For copies of X-RAY’S / MRI’S, dated after 05-01-2010 (NYDH) kindly contact the Department of Radiology @ (212) 312-5654

Physician Record


  • NYD Orthopaedics form  –  To request medical records processed for personal patient use.
  • NYD Hand Center form  –  To request medical records processed for personal patient use.

After you have completed the necessary form/s, please return it to Erica Andino or Sean Samuel by

Mail:   NEW YORK DOWNTOWN ORTHOPAEDIC ASSOCIATES
170 William Street 8th Floor
New York, NY 10038

E-Mail:  erica.andino@nydortho.com or sean.samuel@nydortho.com

Fax: 212-312-5995