Booking Forms
NOTE: Please confirm the availability with us before submitting online booking requests.
4 Easy Steps to Book Cases Online:
- Scroll down to “Online Forms” on this webpage.
- Click “+” on the specialty you choose to book. (All specialties, except Urology, Podiatry, ENT, and Pain Management, should use General Form.)
- Complete the form and click “Submit.”
- Fax a clear copy of the insurance card to 866.249.5146.
For your convenience, PDF versions of the Booking Forms are also available for download at the bottom of this page. Once filled, please fax a clear copy of the insurance card together with the booking form to 866.249.5146.
Questions on booking cases? Contact us at 212.254.3570 Option #2, 8AM – 6 PM ET, Monday to Friday.