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Complete our intake form
to request an appointment.

We certify patients online or by phone and offer ongoing managed care.
You will speak with our registered licensed physician to receive your ID card. 


Fill out the form below to get started. 


If you have already gathered your documents, you may upload them now.

You will need one (1) proof of NYS residency and one (1) proof of your medical condition.

Reach out to us for assistance.
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