West End Medical Associates

Breadcrumbs

  • Home
  • /
  • Info
  • /
  • New Patient Packet - Online Form

New Patient Packet - Online Form

What New Patients Should Know About West End Medical Associates:
About WEMA
Invalid Input

Patient’s Name:
Please type your First Name

Please type your full name.

Sex:
Invalid Input

Invalid Input

Invalid email address.

Invalid Phone Number.

Invalid Phone Number.

Invalid Phone Number.

Phone Numbers: (please choose your preferred number for courtesy confirmation)
Invalid Phone Number.

Invalid Input

Invalid Phone Number.

Invalid Input

Invalid Phone Number.

Invalid Input

Pharmacy information (optional)
Please type your First Name

Invalid Phone Number.

Emergency contact
Please type your First Name

Invalid Phone Number.

Invalid Phone Number.

Invalid Phone Number.

Invalid Phone Number.

Invalid Input

Invalid Phone Number.

Invalid Input

Invalid Phone Number.

Invalid Phone Number.

Invalid Phone Number.

HIPAA Notice of Privacy Practices
HIPAA info
Invalid Input

Our Office

Become a New Patient

Patient Resources

Common Conditions

Footer info

logo bigWest End Medical Associates

Welcome to our outpatient psychiatry practice, West End Medical Associates. We are research-clinician faculty at the Columbia University College of Physicians & Surgeons. All of the physicians specialize in psychiatry, are Board Certified by the American Board of Psychiatry & Neurology, and are licensed to practice medicine in the State of New York.

 

We strive for excellence in systematic evaluation; and in compassionate, professional, discreet, and evidence-based clinical care. If you have a suggestion or comment, please write it down and hand it to the receptionist or mail it to the office, att: Dr. Seidman.

 

Thank you for allowing us to participate in your care.

footer contact information

617 West End Ave, Suite 1B

(side entrance on 90th Street)

New York, NY  10024

 

Phone and SMS: (212) 579-0339

Email: office@westendmed.com

Fax: (212) 202-4187

Office Hours:

Monday - Thursday, 9AM to 10PM

Paypal link:

PayPal.me/westendmed

Our Office

Email Office

Please type your full name.
Invalid email address.
Invalid Phone Number.