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Department of Obstetrics & Gynecology

Columbia University Medical Center

622 West 168^th St, PH 16

New York, NY 10032

Schedule an Appointment: 1 (855) 75-OBGYN

Administration: (212) 305-5515

Medical Education: (212) 305-2463
Maps & Directions

Center for Prenatal Pediatrics

Morgan Stanley Children’s Hospital of

NewYork-Presbyterian/Columbia

3959 Broadway, 12th FL

(at 165th St) New York, NY 10032

Center for Women’s Reproductive Care –

Columbus Circle

1790 Broadway, 2nd & 4th FL

(between 57th & 58th St)

New York, NY 10019

Center for Women’s Reproductive Care –

Westchester

244 Westchester Ave West, Suite 209

White Plains (Harrison), NY 10604

Columbia Ob/Gyn Bronxville

77 Pondfield Road, 2nd FL

Bronxville, NY 10708

Columbia Ob/Gyn Columbus Circle

1790 Broadway, 12th FL

(between 57th & 58th St)

New York, NY 10019

Columbia Ob/Gyn Midtown

51 West 51st St, 3rd FL

(between 5th and 6th Ave)

New York, NY 10019

Columbia Ob/Gyn Rockland

516 Route 303

Orangeburg, NY 10962

Columbia Ob/Gyn Uptown

Herbert Irving Pavilion

161 Fort Washington Ave

(between 165th & 168th St)

New York, NY 10032
Forms

▼ For All Patients

Notice of Privacy Practices Notice of Privacy Practices (Spanish) Notice of Privacy Practices Patient Acknowledgement Form Notice of Privacy Practices Patient Acknowledgement Form (Spanish) Authorization to Release
Medical Information Authorization to Release
Medical Information (Spanish) Important Information About Patient Email Patient Request for Email Communications Request a Copy of Your Medical Record Request a Copy of Your Medical Record (Spanish) Update Patient Information Form Patient Payment Policy Race Ethnicity Form Race Ethnicity Form (Spanish)
▼ General Obstetrics & Gynecology

New Patient Registration Form New Patient History Form Obstetrical History Questionnaire Follow Up Patient History Form
▼ Maternal-Fetal Medicine

New Patient Registration Form New Patient History Form Obstetric & Gynecologic Ultrasound Form Genetic Counseling Referral Form Request to Access to Health Information
▼ Family Planning & Preventive Services

New Patient Registration Form Pre-op Medical Questionnaire
▼ Reproductive Endocrinology & Infertility

Notice about New Patient Informed Consent Instructions for Medical Records Request Request for Access to
Health Information
▼ Gynecologic Oncology

New Patient Welcome Letter Pre-op Medical Questionnaire New Patient History Form Follow Up Patient History Form Request for Slides
▼ Gynecologic Surgery

New Patient Registration Form New Patient History Form Follow Up Patient History Form Pre-op Medical Questionnaire
▼ Urogynecology

New Patient Welcome Letter New Patient Registration Form Bladder Diary Instructions Bladder Diary

Testimonials

Our OB, Dr. Russell Miller, a Maternal Fetal Medicine specialist at CUMC, took the time to get to know my husband and me.
Emily & Steven Auletta