Queens Coordinated Care Partners (QCCP) Referral Form:
QCCP Referral Form (PDF-Fillable)
QCCP Referral Form (Secure Web-Based)
*Please Send Referral Form via Secure/Encrypted E-mail
QCCP has a Unique Governing Structure and is Owned by Hospital Partners, a Federally Qualified Health Center Partner and a Conglomerate of Former COBRA Providers.