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Community Healthcare Network

Patient Forms

Please complete the New Patient Forms below using the fields and email to the site you are scheduled for your visit.

OR

Print and fill out by hand and mail to the site you are scheduled for your visit.

Locations

South Bronx:
1002 Westchester Ave
Bronx, NY 10459
[email protected]

Tremont:
1880 Bathgate Avenue, 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:
255 East Houston St.
New York, NY 10002
[email protected]

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

Jamaica:
89-44 164th St, 5th Floor
Jamaica, NY 11432
[email protected]

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

Sutphin Boulevard:
97-02 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.

Update

All Community Healthcare Network centers will be closed on Monday, September 7th in observance of ​Labor Day. ​

Call (866) 246-8259 to learn more or book your next visit.