The Brooklyn Heart Center Cardiology, Cardiac Testing and Cardiac Catheterization Lab IF THIS IS AN EMERGENCY PLEASE CALL 911 (DO NOT BOOK OR REQUEST AN APPOINTMENT) Request a Brooklyn Heart Center Appointment To request an appointment or more information from our Brooklyn Heart Center Team, please complete the form below. After you submit this information, a TBHC representative will contact you by phone within two business days. We can also be reached at 718.250.8267 on business days from 9 am – 5 pm. Please note that we accept most major insurance plans, including Medicare and Medicaid. * indicates required field Patient's First Name * Patient's Last Name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Existing Patient * Yes No Health Insurance * Email Address * Phone * Reason for Visit or Information Request *
