bronxcare hospital center

BronxCare

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INTERNAL MEDICINE

RESIDENCY PROGRAM

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    Collection of Nasopharyngeal Specimens with the Swab Technique

    COVID-19 Vaccination Forms

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    Consent Form
    covid-19-vaccine-attestation.pdf
    covid-19 vaccine attestation form
    2nd Dose Reminder
    2nd Dose Reminder
    CDC V-Safe
    CDC V-Safe
    Patient Factsheet (English): Pfizer-BioNTech COVID-19 Vaccine
    Patient Factsheet (English): Pfizer-BioNTech COVID-19 Vaccine
    Patient Factsheet (Spanish): Pfizer-BioNTech COVID-19 Vaccine
    Patient Factsheet (Spanish): Pfizer-BioNTech COVID-19 Vaccine

    Forms

    Chief R3 Sign Out Sheet
    Chief R3 Sign Out Sheet
    M&M Data Form
    M&M Data Form
    CEX Form
    CEX Form
    missed punch
    missed punch
    Fax Template
    Fax Template
    NPI app. instr.
    NPI app. instr.
    Floor signout
    Floor signout
    Patient safety checklist
    Patient safety checklist
    Discharge summary
    Discharge summary
    Procedure Form
    Procedure Form
    ICU Adm. handoff
    ICU Adm. handoff
    Followup Apt. [English]
    Followup Apt. [English]
    Floor Adm. handoff
    Floor Adm. handoff
    Followup Apt.[spanish]
    Followup Apt.[spanish]

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    ​Department of Medicine

    1650 Selwyn Avenue # 10 C
    Bronx, NY 10457

     

    ​Ph : 718 - 590 -1800.

             Ext: 960 -1234

     

    Fax : 718 - 960 - 2055

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    The BronxCare Health System

     

    Website disclaimer

    The BronxCare Health System

    is a Clinical Affiliate of The Mount Sinai Hospital

    and an Academic Affiliate of The Icahn School of Medicine at Mount Sinai.

    ​Main Hospital Website

     

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