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To make an appointment for your group please print the appropriate sign up sheet below and post it in a common area. When you have 10 or more participants please fax to 718-679-9661 at least 72 hours prior to your preferred appointment date.

Mobile Medical Unit Sign Up Sheet Mobile Dental Unit Sign Up Sheet

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If you are an individual or family and would like to make an appointment on-line please complete the form below.

Make Appointment With:
Name: Phone:
Address: Email:
Patient Name Day Preferred   Time Preferred
Comments:
  


If your appointment has not been confirmed within 24 hours please call our office at 718-777-0752.