CONFIRM / REQUEST APPOINTMENTS

To confirm an appointment, please email; appointment @gothammed.com.

Please complete the form below to request an appointment date & time. Requests are reviewed daily, Monday-Friday. Please allow 48 hours for your request to be processed. Requests submitted after 5pm on Friday or on Saturday and Sunday will be processed the following Monday.

PLEASE DO NOT LEAVE MESSAGES REGARDING BALANCES, TEST RESULTS, OR QUESTIONS CONCERNING A MEDICAL ISSUE HERE. For emergencies, please contact our office at (212) 620-0144.

If you need to cancel your appointment, please contact our office at (212) 620-0144 with at least 24 hour notice.  No-shows and appointments that are cancelled without 24 hour notice will be subject to a cancellation fee.

 

First Name (required)

Last Name (required)

Date of Birth (required)

Phone Number (required)

Email Address (required)

Preferred Mode of Contact (required)

Your Primary Care Physician (required)

Purpose of Appointment (required)

Preferred Days & Times (required)