International Patient Appointments

The International Center can help you schedule an appointment with a physician at HSS. Please tell us a bit about yourself by completing the form below so we can match you with the doctor who best meets your needs. A coordinator will contact you within 2 business days

Please be prepared to provide the following documents:

Passport and US visa
Insurance card (if applicable)
Recent medical records in English
Imaging studies and reports (if applicable)

If you have any questions, please call +1 212-606-1186 Monday–Friday, 9am–4:30 pm ET.

Web-to-Lead Form

Appointment Request Form

Please fill out the information below to request an appointment.

Personal Information

First Name (as it appears on your passport)*

Last Name (as it appears on your passport)*

Email*

Phone Number

Date of Birth*

Sex*

Permanent Address

Country*

Do you currently have a visa for traveling to the United States? If a visa is not required for you to travel to the United States, please select yes. (Note, HSS does not provide appointment letters to support U.S. visa applications or letters of invitations.)*

Are you using insurance or self-paying?

Medical Details

What Body Part?

Body Part Detail

What is your chief complaint/diagnosis?*

What is the date of injury or when did symptoms/pain begin?*

Has your physician recommended surgery for this problem?

Are you looking to schedule surgery during your visit, if needed?*

Have you had surgery for this condition or tried alternate treatments such as physical therapy, injections, etc.? Please describe

Preferences & Scheduling

Is there a specific HSS physician you would like to see? If yes, please provide the name of the provider

When would you like to have an appointment?*

Will you require an interpreter for your visits?*

What language?

Which HSS location would you like the appointment scheduled at?*

As a world-renowned institution, HSS has Ambassadors living in various countries around the world. By checking this box, you give consent for us to share your contact information with the HSS Ambassador in your region (provided there is one in your home country).