1022 Nostrand Ave

Brooklyn, NY 11225

(347) 378-8010

09AM to 05PM EST

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Patient Forms

Documents for providing your medical history, personal information, and consent to ensure accurate and efficient care.

Demographic & Insurance Information Form

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HIPAA Privacy Acknowledgment Form

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Financial Policy - Payment Responsibility Agreement

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New-Patient Forms

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Consent for Treatment

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We’re Here When You Need Us

Walk-in care and support for all your health needs, from routine checkups to urgent care. Our team provides safe, reliable, and compassionate care whenever you need us.
MEET THE SPECIALISTS

North City Medical provides accessible, high-quality care for the Brooklyn community in one convenient location, offering preventative, chronic, and Walkin care delivered with compassion and cultural sensitivity.

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Appointments

We will do our best to accommodate your busy schedule.
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Contact

Call On Phone:

(347) 378-8010

Fax Us:

(347) 378-8010

Send A Message:

info@Northcitymed.com

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