Download Forms

The following registration form is for new records review and evaluation cases only. Please do not register if you are an existing Dr.Seckin's patient (current or any year prior) or have (or plan to schedule) an in-office appointment.

If you are an existing DrSeckin's patient (from any year) in need of assistance, again, please do not register.
Please call us at (646) 960-3080 and we'll be delighted to help you.

If you were looking to book an in-office appointment (fees apply), please note appointments are not made online.

Call us at (646) 960-3080 and our staff will be delighted to book you and review the costs/insurance aspects with you. Again, please do not complete this registration form if you are not undergoing the free records evaluation and phone consult process. Thank you.

Here are the forms you will need to download and fill in after you have made an appointment and before your first visit. This will cut down on the time you will need to spend in our offices and it will also allow Dr. Seckin to review your history prior to meeting with you.

   Health History Questionaire >
   Online Registration Form >
   Notice of Privacy Practices >

If you have any questions about how to fill in these form, our staff will be glad to help. Please contact us at info@drseckin.com

 

Patient Reviews

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  • Grace Larsen

    After years of excessively painful periods, a serious loss of quality of life, and a series of uninformed and uninterested doctors, Dr. Seckin and Dr. Goldstein turned my life around. I was told I woke up from my surgery almost a year ago with a smile on my face, and I haven't stopped since. Before I heard of Dr. Seckin,…

  • Nicole Novakowski

  • Jacqueline Galindo

    Dr Seckin and his team gave me back my life! Tomorrow will be 1 month since my surgery and I feel great. Dr. Seckin, Dr Liu, and Dr Goldstein are not only beyond words talented and amazing Doctors, but they are also genuinely wonderful and caring people. I cannot say enough great things about Holly, Asiye and Kim as well.…

  • Anna Lu

    Dr. Seckin and his staff spared me from years and years of heavy periods and unbearable endometriosis pain. After having surgery with him (my first) I can now function like a regular human. No more eating NSAIDs like candy and calling out sick from work. Thank you, Dr. Seckin!

  • Sheena Wright

    I underwent surgery with Dr. Seckin in 2017 and have felt like a new woman ever since. If you have, or suspect you have endometriosis, Dr. Seckin and his compassionate team of surgeons and staff are a must-see.

  • Angela Aro

    I have struggled with endometriosis and adenomyosis since first starting my period at 13. I was diagnosed at 21 and what followed was a series of unsuccessful surgeries and treatments. My case was very aggressive and involved my urinary tract system and my intestines. After exhausting all of my local doctors I was lucky enough to find Dr. Seckin. We…

  • Emi O

    Seckin and Dr. Goldstein changed my life!

  • Kristin Sands

    Like so many women who have tirelessly sought a correct diagnosis and proper, thorough medical treatment for endometriosis, I found myself 26 years into this unwanted journey without clear answers or help from four previous gynecological doctors and two emergency laparoscopic surgeries. I desperately wanted to avoid the ER again; a CT scan for appendicitis also revealed a likely endometrioma…