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Community Healthcare Network

Formularios para pacientes

Por favor, rellene los Formularios para Nuevos Pacientes que aparecen a continuación utilizando los campos y envíelos por correo electrónico al lugar donde tiene programada su visita.

O

Imprímalo, rellénelo a mano y envíelo por correo al lugar previsto para su visita.

South Bronx:
975 Westchester Ave
Bronx, NY 10459
[email protected]

Tremont:
4215 Third Ave, 2nd Floor
Bronx, NY 10457
[email protected]

Crown Heights:
1167 Nostrand Ave
Brooklyn, NY 11225
[email protected]

East New York – Dr. Betty Shabazz:
999 Blake Ave
Brooklyn, NY 11208
[email protected]

East New York HUB:
2581 Atlantic Ave
Brooklyn, NY 10459
[email protected]

Williamsburg:
94-98 Manhattan Ave
Brooklyn, NY 11206
[email protected]

Harlem:
81 West 115th St
New York, NY 10026
[email protected]

Lower East Side:
150 Essex St
New York, NY 10002
[email protected]

Washington Heights:
511 West 157th St
New York, NY 10032
[email protected]

Jamaica:
90-04 161st St, 5th Floor
Jamaica, NY 11432
[email protected]

Long Island City:
36-11 21st St
Long Island City, NY 11106
[email protected]

Sutphin Boulevard:
97-04 Sutphin Boulevard
Jamaica, NY 11435
[email protected]

All Community Healthcare Network health centers and offices will be open on Tuesday, February 24, 2026. Our mobile health clinics will not be operational due to weather conditions.

Updates

All Community Healthcare Network centers will be closed on Monday, February 16th in observance of Presidents’ Day.