Patient's Resources

Request Appointment

Test Instructions and Forms

MRI Screening Form
Instructions for Contrast Drink Preparation
Patient History Form

COVID-19 Screening Form.

Form Formulario de detección de COVID-19.

Uninsured or High Deductible

If you are uninsured or have high deductible we are here to help. Please call our office and ask to speak with the office manager.

Tel. 1-718-979-0100
Ext. 104

Billing Contact Information

Tel: 1-800-889-4447
www.hapusa.com/contact-us
Email: ptinquiry@hapusa.com

Patient's Forms

Medical Records Release Form
No Fault Form
Worker's Compensation Form

Insurance Participation List

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