Financial Screening Form (Spanish)
Financial Screening Form (Chinese)
Financial Screening Form (English)
Patient Registration Form (Spanish)
Patient Registration Form (Chinese)
This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.
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ph: (212) 334-6029 | 400 Broadway New York, NY 10013