Suggest a Resource

HITE seeks to provide you with up-to-date, comprehensive information on health care resources for low-income, under-insured, and uninsured New Yorkers. If you have suggestions for additional programs and services to include in our database, please complete and submit the form below, and a member of our staff will follow-up on your suggestion.

* Indicates Required Information

Resource Information
*Name of Program/Organization:  
*Description of Program/Organization:  
Address:

*City, State, ZIP:   , ,
*Phone:  
Web site address:
*E-mail/Phone of Contact Person
at Program/Organization:  
 

Your Information
Your name:
Your e-mail address and/or
phone number:
(so we can contact you for further information)