FGP Demographic Form 5.6.10
........ number 'C'Q-U' Short Form DODO 00 CONFIDENTIAL DAY MONTH YEAR Today'. date Ma1y people Jeak ...
FGP Financial Assistance Application 07.2021
NYU Langone Health Faculty Group Practice Financial Assistance Application Please send completed application ...
fgp-financial-policy-2024.pdf
Revised: 2/2024 Faculty Group Practice Financial Policies and Acknowledgement Thank you for choosing ...
fgp-interpreter-consent-4-30-18.pdf
Faculty Group Practice PATIENT CONSENT FORM FOR INTERPRETER SERVICES I understand the NYU Faculty Group ...
fgp-workers-comp-no-fault-insurance-registration-form-4-30-18.pdf
Faculty Group Practice Workers Compensation / No Fault Insurance Registration Form DATE: PATIENT NAME: ...
fhc-heia-relocation-and-consolidation-con.pdf
Executive Summary The Family Health Centers at NYU Langone (FHC) and NYU Langone Hospital— Brooklyn (NYULHB) ...
fhc-heia-relocation-and-consolidation-heia.pdf
July 2025 New York State Department of Health Health Equity Impact Assessment Template Refer to the Instructions ...
FHC-services-for-older-adults-transportation-program.pdf
Services for Older Adults: Transportation Program Family Health Centers at NYU Langone – Services for ...
FHC_heia_data_tables_Consolidated_upd 7.8.xlsx
Identifier (i.e., Patient A, Employee B, Respondent 1) or Name (only if requested by stakeholder) Organization ...
fillable-cpe-word-doc-application-revised-8-2023.pdf
Application & Instructions for CPE Please respond to each of the following items. Your typed responses ...