Employee Notices
Clean Indoor Act No Smoking Criminal Convictions Records Discrimination Minimum Wage: Attention Employees various industries Posting of Hours for Minors Time Off to Vote Notice Unemployment Insurance Notice to Employees IA 133 Veterans’ Benefits and Services P37 employers with more than 50 employees The Breastfeeding Mothers’ Bill of Rights Workers’ Compensation Notice of Compliance Notice […]
DME
Medical Equipment Order Form Order Your Medical Supplies At No Cost To You! Rockaway Home Care has partnered with Conduit Health to help you order your medical supplies. Conduit will bill your insurance and ship the supplies directly to you! 🡣 Start Your Order Below 🡣
Privacy-Policy
**Foundation For The Elderly DBA Rockaway Home Care Notice of Privacy Practices** **THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.** ### I. Uses & DisclosuresWe may use and/or disclose your information for the following purposes: **Treatment:** We […]
Pediatrics
Apply For Pediatric Home Care! "*" indicates required fields EmailThis field is for validation purposes and should be left unchanged. Name* First Name Last Name Email* Phone*Are You The?PatientFamilyFriendOther Is the patient under 18?* Yes No Does The Patient Have Medicaid?* Yes No I am not sure What Is The Patients Medicaid Number?Medicaid numbers should […]
Patient Enroll
Get Started With Rockaway! How can we help you?Please select one optionSignup For Home CareSignup For CDPAPSignup For NHTDSignup for Private PayStart Working With Rockaway Name First Last Email Phone Select Location(s)(Required) Brooklyn Bronx Manhattan Queens Staten Island Rockland County Suffolk County Nassau County Westchester County Dutchess County Orange County Putnam County Ulster County Sullivan […]
Home Care
Apply For Homecare! "*" indicates required fields Name* First Name Last Name Email* Phone*Are You The?PatientFamilyFriendOther Does the patient have Medicaid?* Yes No I am not sure What Is The Patients Medicaid Number?Medicaid numbers should be in AB12345C format. Would you like help applying or determining eligibility?* Yes No One MUST have MEDICAID to enroll […]
Medicaid Planning
Apply For Medicaid Planning! "*" indicates required fields Name* First Name Last Name Email* Phone*Are You The?PatientFamilyFriendOtherOtherCAPTCHAPrivacy Policy Consent Yes, Rockaway can contact me via txt, email, or calls to provide more information This field is hidden when viewing the formutm_sourceThis field is hidden when viewing the formutm_mediumThis field is hidden when viewing the formutm_campaignThis […]
Private Pay
Apply For Private Pay! "*" indicates required fields Name* First Name Last Name Email* Phone*Are You The?*PatientFamilyFriendOtherPrivacy Policy Consent Yes, Rockaway can contact me via txt, email, or calls to provide more information CAPTCHAThis field is hidden when viewing the formutm_sourceThis field is hidden when viewing the formutm_mediumThis field is hidden when viewing the formutm_campaignThis […]
TBI
Apply For TBI "*" indicates required fields Name* First Name Last Name Email* Phone*Are You The?PatientFamilyFriendOther Does the patient have Medicaid?* Yes No I am not sure What Is The Patients Medicaid Number? Medicaid numbers should be in AB12345C format. Would you like help applying or determining eligibility?* Yes No One is NOT eligible to […]
NHTD
Apply For NHTD! "*" indicates required fields Name* First Name Last Name Email* Phone*Are You The?PatientFamilyFriendOther Does the patient have Medicaid?* Yes No I am not sure What Is Your Medicaid Number? Medicaid numbers should be in AB12345C format. Would you like help applying or determining eligibility?* Yes No One is NOT eligible to enroll […]
