CDPAP Application

Medical Assessment Checklist

Download PDF
You may complete the application online or download the PDF to print and complete. Please also note the medical requirement checklist (if you are from Nassau or Suffolk).
Then call us at one of the following numbers for information on how to submit your application.
(631) 567-6555 ext 23033 in Suffolk
(516) 741-0700 in Nassau
(914) 285-0516 in Westchester

CDPAP Program

For more information on South Shore Home Health’s CDPAP program

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