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Find a Doctor
Find any physician affiliated with Lenox Hill Hospital.

Awards & Accolades

Healthcare Equality Index 2013
America's Best Hospitals 2014-15

America's Best Hospitals 2014-15

U.S. News and World Report

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Best Doctors 2013
 
 

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Request an Appointment

Please use the form below to request an appointment with Lenox Hill Hospital Radiology Department. This form will be sent to a registrar at our facility who will call you back within one business day to confirm a date and time with you. Our Registrars receive Internet inquiries and will place phone calls between 8:30 a.m. and 9 p.m., Monday through Friday.

Lenox Hill Hospital considers the information you provide as confidential and it will not be shared with any third parties.

All submissions will receive an automatic e-mail informing you that we have received your information.

If you would prefer to make an appointment by telephone, please call us at (212) 434-2900.

Thank you for choosing Lenox Hill Hospital.

* denotes mandatory fields

Patient Information

Your Name*:
Gender*:
 
Date of Birth*:
 
Mailing Address:
City:
State:
Zip Code:
Email Address*:
Day Phone*: Ext
Evening Phone*: Ext
Ordering Physician:
I am:

Has the patient been treated at Lenox Hill Hospital for anything in the past?

Contact Information

Name*:
Contact Phone*: Ext
Best Time to Call:


Insurance Information

Below are the insurance companies that have contracts with Lenox Hill. Please select one Insurer or PPO Network from this list. If your insurance company is not on this list, then it may not have a contract with LHH and your procedure may not be covered. If your insurance provider is not listed, please call us to verify whether you are covered. If you are not covered, you can still have your procedure performed at LHH, but you will need to pay the full amount by cash, check or credit card.

Please check with your insurance company to determine if pre-authorization is needed. If it is, please make sure you bring the authorization number with you at the time of your test. Patients who fail to secure appropriate authorization will be billed for any payments that are denied.

 
HMO:
 
Medicare:
 
Medicaid:
 
PPO Networks:
 

Preferred Date and Time of Appointment

Please indicate the day and time you would like to schedule your appointment. This information will expedite the process when our Registrar calls you.

Preferred Day and Approximate Time for Appointment (We will identify a specific time when we call you.):

 
First Choice:
 
 
Second Choice:
 

 

Thank you for completing the form. To proceed, please click on "Review Information," where you will preview the information before sending it. If you wish to clear the entire form and start again, click "Reset Form."