Application :: NYC Reach :: Electronic Health Records in NYC

Application

Complete the NYC REACH agreement and become a member at no-cost. Members can attend Meaningful Use classes and access our Resource Library with information on EHR adoption, Meaningful Use, e-prescribing, and more for free.

If you would like to receive more information about NYC REACH, please complete the application below and an Outreach Specialist will be in touch with you. Feel free to contact us at pcip@health.nyc.gov or at 347-396-4888.

Salutation:*
First Name:*
Last Name:*
Job Title:*
Email:*
Phone:*
How did you hear about NYC REACH?:*
Practice Name:*
Address:*
City:*
Borough:*
State/Province:*
Zip:*
Fax:*
Number of Practice Sites/Locations (under same tax ID):*
Number of Providers (MD, DO, NP, PA):*
Provider Specialties (select all that apply):*
Percent of Patients on Medicaid (includes Medicaid HMOs):*
Percent of Patients Uninsured (sliding scale or charity care):*
Do you use an EHR at your practice?:

NYC Health - New York Regional Extension Center - The Primary Care Information Project

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