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If you have not yet had an exam under
the WTC Monitoring and Treatment Program but think you may be eligible,
call the Registration Hotline at (888) 702-0630. Alternatively, you may
print and fill out a copy of the eligibility form and fax or mail it to us.
If your contact information (name,
address, telephone numbers) has changed since you had your initial exam
under the WTC Worker & Volunteer Medical Screening Program, it is
extremely important that you update us if your contact information
(name, address, telephone numbers) changes. Please print and fill out a
contact information
update form and fax
or mail it to us.
On that form you will see that we would
also like you to provide us with the contact information of at least
two people (such as family members) who are not living in the same
household as you and who will always know how to contact you. This
information will be kept in the strictest confidence and they will
never be contacted for any purpose other than in our efforts to get in
touch with you.
By law, we need your permission before
we can leave a message containing "Protected Health Information" (such
as exam appointment time) on an answering machine, with someone who
answers your phone, or at a particular telephone number. It is helpful
for us to have your permission to do this, if you are comfortable with
us having this authority, please print, complete and fax or mail the form to us.
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