patient info

New Patient Registration Process
1
Click here to register
Patient Registration Form
2
Complete
Complete the registration packet
3
Documents
Gather requested documentation listed on the first page
3
Payment

Our Sliding Fee Program provides a schedule of discounts for services provided at Blanche Kahn Family Health for uninsured and underinsured patients. The amount of the discount is based on family/household size and annual income, and is updated annually using the poverty guidelines published by the U.S. Census Bureau. Depending on family size and income, discounts are available to patients at or below 200% of the Federal Poverty Level (FPL).

Patients at or below 100% of the Federal Poverty Level will be charged a nominal fee for services provided at Blanche Kahn Family Health. For more information, please call our office at 718-434-4600.

5
submit
Submit your completed packet with documents using one of the following methods:
address
1221 East 14th Street
Brooklyn, NY 11230
phone
718.535.2078
email
sitzkowitz@bkhealthcenter.org