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Heart and Health Medical strives to provide prompt and convenient medical care. Not all patients will be eligible for same day appointments based on request and specialist availability. Patients requesting a same day appointment will be scheduled with the first available provider.
I am a
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New Patient
Current Patient
Office Location
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Massapequa Office: 6175 Sunrise Highway, Massapequa, NY 11758
Coram Office: 3650 Route 112, Coram, NY 11727
Plainview Office: 1070 Old Country Road, Plainview NY 11803
North Babylon Office: 1350 Deer Park Avenue, North Babylon, NY 11703
Levittown office: 1 Center Lane ,Levittown NY 11756
Reason for Appointment
Personal Information
Full Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Email
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example@example.com
Date of birth
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How will you be paying?
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How would you like to add your insurance information?
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Take a picture of the insurance card
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Take photo of the front side of the insurance card
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Insurance Carrier
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Insurance Subscriber Number
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Attach Image Of Insurance Card
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How did you hear about us?
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Reputation/Reviews
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Dr. Recommendation
Friend or Family
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