Insurance, Payment, Forms

Cancellation policy


You must give 24 hours notice if you cannot keep your appointment to avoid being charged a $50 cancellation fee.

Insurance plans

Dr. Weiss participates in:
  • Cigna:
    Actors' Equity, Open Access, POS plans (not 'PPO' or 'Exchange' plans).
  • United Healthcare:
    All plans except 'Oxford,' 'The Empire Plan,' 'Exchange' plans.
    If your United Healthcare card has 'Oxford' under the logo or 'The Empire Plan' on the front, then Dr. Weiss is out-of-network.
  • Workers' Compensation, New York State:
    Professional performers only. A copy of your C-2 form is required at the time of your first visit.
  • Workers' Compensation, out-of-state:
    Accepted on a case-by-case basis – please call.
Dr. Weiss does NOT participate in or accept:
  • Medicare
  • Exchange Plans
  • No-Fault (motor vehicle accident insurance)
  • Any other insurance
If you have these insurances, you can see Dr. Weiss in consultation, but payment is required at the time of service.
For all plans where Dr. Weiss is "out-of-network" and for no-fault, we will give you a claim form that you can submit to your insurance company so that you can obtain reimbursement.
IMPORTANT: Medicare patients cannot get any reimbursement from Medicare or any other insurance plan, as Dr. Weiss has 'opted out' of Medicare.

SAG/AFTRA Health Plan:  Please call us for billing options.

For braces and splints, please be advised that even if we bill your insurance, the costs of braces and splints are your responsibility. These charges may be subject to a separate co-payment or a separate deductible.

Payment options

For payment we accept:
  • Check
  • Debit Cards
  • Credit Cards (Mastercard, Visa, American Express, Discover)

Office forms

* Patient Demographics Form
Please complete this demographics form before you visit for your consultation.
Download and save the form. Open on your computer using Adobe Acrobat Reader or on other devices (iPad, iPhone, or Android device) using "Adobe Fill & Sign." Save the completed form on your device and email it to the office before your visit.

* Patient Medical History Form
Please complete this medical history form before you visit for your consultation.
Download and save the form. Open on your computer using Adobe Acrobat Reader or on other devices (iPad, iPhone, or Android device) using "Adobe Fill & Sign." Save the completed form on your device and email it to the office before your visit.

Map of NYU Langone Medical Center
Map of the main campus of NYU Langone Medical Center, including Faculty Practice Radiology in the Schwartz Health Care Center.

Medical Records Authorization
This form can be used to request that Dr. Weiss (1) send your medical records to another physician or to any other person that you authorize, or (2) request your medical records from another physician or healthcare facility.

Neighborhood Map
Map of NYU Langone sites on the east side of Manhattan, including my office (#7 on map).

Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Contact Information

Dr. Weiss' office:
317 East 34th Street, 3rd Floor
Between 1st and 2nd Avenues
New York, NY USA 10016 View map Phone 212-263-7743 Fax 844-287-3555

Dr. Weiss on Facebook
Dr. Weiss on Twitter

Office Manager

This website is provided by the American Academy of Orthopaedic Surgeons as a service to its members. All materials on this Web site have been created, developed or assembled by the member physician, who is solely responsible for its content and any permissions necessary to properly place the materials on this website. The AAOS does not review this information nor does it exercise editorial control over it and consequently AAOS is not liable for any damage that may be caused by this information.