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About
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Obstetrics & Reproduction
Gynecology & Wellness
Primary Care
Gynecologic Surgery
Mammography
Maternal Fetal Medicine
Providers
Resources
New Patients
Existing Patients
Billing & Insurance
Testimonials
Resource Guide
Patient and Billing Portal
Contact
Contact Us
Pay My Bill/Patient Portal
About
Services
Obstetrics & Reproduction
Gynecology & Wellness
Primary Care
Gynecologic Surgery
Mammography
Maternal Fetal Medicine
Providers
Resources
New Patients
Existing Patients
Billing & Insurance
Testimonials
Resource Guide
Patient and Billing Portal
Contact
Report a Concern or Complaint
Incident Form
CALL 911 IF THIS IS AN EMERGENCY OR AN IMMEDIATE THREAT TO LIFE OR PROPERTY.
Report an Issue
Are you an employee of Square Care Medical Group, LLP?
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Do you wish to remain ANONYMOUS for this report?
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Your Name
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Your Phone Number
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Your E-Mail Address
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Best time to contact you
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Relationship to Patient
If other, please state relationship
Where did incident or violation occur? Scroll options to choose a division
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Arato & Blaszczyk Obstetrics & Gynecology, P.C. (Stony Brook)
Babylon Village Medical Associates (Babylon)
Complete Women’s Healthcare, PC (Garden City)
Contemporary OB-GYN Health Care (Bethpage)
Dr. Frank Dolisi (New Hyde Park)
Dr. Paul Byrne (Garden City)
Island OB/GYN Center (Port Jefferson Station)
Jefferson Obstetrics & Gynecology (Port Jefferson)
Jefferson Obstetrics & Gynecology (Moriches)
Long Island Women’s Health Care Group (Mineola)
Long Island Women’s Health Care Group (New Hyde Park)
Long Island Women’s Health Care Group (Syosset)
North Shore OB-GYN (Bayside)
Obstetrical & Gynecological Specialties (Smithtown)
Obstetrical & Gynecological Specialties (Stony Brook)
Premier Women’s Health (Manhasset)
Premier Women’s Health (Woodbury)
Redefining Health Medical (Roslyn)
Richard J. Trongone (Manhasset)
Square MFM of Nassau (Manhasset)
Square MFM of Nassau (Woodbury)
Three Village Women’s Health (Patchogue)
Three Village Women’s Health (East Setauket)
Please provide all details regarding the alleged violation, including the locations of witnesses and any other information that could be valuable in the evaluation and ultimate resolution of this situation.
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Please provide the specific or approximate time this incident occurred:
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If you have a document or file that supports your report, you can attach it here.
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