Case Managers and
Social Workers
Due to Covid-19 social distancing protocols, The Floating Hospital now requires a pre-registration with your online submission. This means that forms now require patients’ full demographics.
To maintain HIPAA compliance, our patient information submission forms will not load on outdated and supported browsers.
If you’re having trouble submitting a referral:
- Update your browser
- Use a different computer with an updated and supported browser, or
- Print, complete, and submit the patient registration form (en español) by fax, to 347-579-0526
Appointment Checklist
Here’s exactly what your client will need when they walk through the doors of The Floating Hospital.

Residency Letter from Shelter

ID

Children’s Immunization Records

Insurance Cards or Other Insurance Information

Social Security Numbers for All Being Treated
