Long Island FQHC, Inc. is a nonprofit 501(c)(3) organization
(EIN/tax ID number: 27-
Long Island FQHC, Inc. © 2010-
All Rights Reserved. 1600 Stewart Avenue, Westbury NY 11590, Suite 300
FTCA Deemed Facility
• How to Become a Patient
• What to Expect
• About Us
• Accreditation & Recognition
What to Bring
When you arrive at Long Island Federally Qualified Health Center’s for the first time, we recommend that you bring the following:
If you have insurance:
If you don’t have insurance:
New Patients, please arrive 30 minutes before your appointment time.
Established Patients, please arrive 15 minutes before your appointment time.
For your convenience, you may complete new patient forms in advance. Please select and print from the options below, fill them out completely and bring them with you to your appointment.
Patient Rights & Responsibilities
The New York State Department of Health requires that patient’s seeking services be informed of their rights. It is part of your patient registration and is an important part of your health care plan.
We are committed to maintaining the privacy of your protected health information. Our policies comply with the federal regulations under HIPAA (Health Insurance Portability & Accountability Act).
This Notice describes how your medical information may be used and disclosed and how you can access this information.
How to pay for your Care
LIFQHC Health Care professionals that do not participate with a health plan will inform the patient or prospective patient, before the non-
For Those Without Insurance
If you do not have or cannot afford medical or dental insurance, you may be eligible for reduced rates based on your family’s size and income through our Sliding Fee Scale discount program. You may apply for our sliding fee program in our office during your visit, or you can fill out the form ahead of your visit by downloading and printing the Sliding Fee Scale application form here.
Our Sliding Fee Scale is accessible to all income-
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|New Patient Information & Forms|
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|Hempstead 135 Main|
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|American Cancer Society Fall 2017|
|All Staff Meeting July 2018|
|Board of Directors|
|Family Practice Residency Program|