Schedule Visit Here
M-F 6-9 p.m., Friday 9 am - 7 pm, Sat 11-7 p.m. VISITS BY APPOINTMENT ONLY! Direction To: 230 Hilton Ave, Hempstead NY 11550. From the Hempstead Bus Terminal! Go to Jackson St, turn right on Franklin St, left on Atlantic Ave, then right on Hilton Ave. The clinic is at 230 Hilton Ave, Suite 105.
COMPLETE YOUR FORMS WITH US!
📝 Fast, Professional Completion of New York Medical Forms for Home Care/CDPAP🏥 DOH Forms, 🧾 M11Q, 📋 NYIA and 💼 Employment & School Physicals 📞 Call or Text: 718-954-3553 📍 230 Hilton Ave, Suite 105, Hempstead, NY 11550
Name
First Name
Last Name
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Types of Visits
DOH, M11Q, NYIA Assessment forms, Employment Physical Forms
Clinic Visit [Annual physical, Employment Physical, School physical, Routine Visits]
Home Visit or on Telephone visit [Med refill, Fall, Cough, Sore-throat, Urinary issues]
Intravenous Infusion Therapy
Do you have a health insurance?
Yes
No
Appointment
Which Insurance You Have?
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