Remisión de pacientes

To refer a patient, please fill out the form below. Our scheduling coordinator will contact your patient promptly.

    Is it an urgent consult that is required within one week

    Please do not submit any Protected Health Information (PHI).


    ** To refer a patient by phone, please have the information requested on the form available, so that we can enter it in our medical records system.

    Participating Providers

    • AARP
    • Affinity (Pending)
    • Americhoice (United Health Care Community Plan)
    • AMERIGROUP (HealthPlus)
    • Blue Cross/Blue Shield
    • Cigna
    • Coventry
    • Empire/NYSHIP
    • Fidelis
    • GHI
    • HealthFirst
    • HIP (Note: We DO NOT accept HealthCare Partners)
    • MagnaCare
    • Medicare
    • NorthShore – LIJ (CareConnect)
    • Oxford Health
    • Tricare
    • United Healthcare
    • VNS