To provide primary and preventative healthcare services to residents of specific areas of Suffolk County with a focus on low income, medically unserved and underserved individuals.

Patient Registration Packet - English Download
Patient Registration Packet - Spanish Download
Patient Bill of Rights English Download
Patient Information on Advance Directives Download
NYS MOLST Download
MOLST checklist - without capacity Download
New_York_Health_Care_Proxy_Form Download
NYS DNR form - non-hospital Download
RHIO Consent Form Download
Flu Consent (English) Download
Flu Consent (Spanish) Download
Spanish Medical History for Dental Download
Medical History for Dental Patients Download
Consent for Immunizations Download
Article 16 Welcome Packet Download
Article 16 Photo and Video Release Download
Article 16 Seating and Mobility Intake Download
Behavioral Health Packet (English) Download
Behavioral Health Packet - New Patient - Spanish Download
Social Determinants of Health Form - English Download
Social Determinants of Health Form - Spanish Download

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