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Francine LeFrak Wellness Center
We provide medical, behavioral, and dental diagnostic screenings, referrals, as well as, nutrition and healthy lifestyle support.
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First Name
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Last Name
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Phone Number
*
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Email
Your answer
Do you have Health Insurance?
*
No
Yes
If so, Which type of Health Insurance?
Medicaid
Medicaid Pending
Horizon NJ Health
UnitedHealthCare
Amerigroup
WellCare
Americhoice
Other:
If you don't have Health Insurance, but you Applied for Health Insurance
Please provide your Confirmation/Reference Number
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Do you have a Primary Care Physician?
Yes
No
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If you have a Primary Care Physician, Please write their Full Name.
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What is the reason for your Medical Visit?
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Current Accepted Health Insurances:
- Medicaid
- Medicaid Pending
- Horizon NJ Health
- UnitedHealthCare
- Amerigroup
- WellCare
- Americhoice
**At this time, the attending primary care physician at the wellness center is not accepting Aetna Better Health insurance.**
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