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Patients Forms

Home » Patients Forms

Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

Intake Form
Authorization & Release Form
Consent Form
Non-Discriminatory Notice
COVID-19 Consent Form
Patient Bill Of Rights
Terms & Privacy
TeleHealth Consent
Insurance Waiver
Fee Schedule
Cares Act Form
Consent For Participation In Citywide Immunization Registry (CIR)

formularios en español

FORMULARIO DE AUTORIZACIÓN Y LIBERACIÓN
FORMULARIO DE ADMISIÓN DE NUEVO PACIENTES
CONSENTIMIENTO PARA EL TRATAMIENTO
AVISO Y DECLARACIÓN DE NO DISCRIMINACIÓN
CONSENTIMIENTO INFORMADO PARA EL TRATAMIENTO DE COVID-19
DECLARACIÓN DE DERECHOSRESPONSABILIDADES DEL PACIENTE
Términos y privacidad

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About Us

As a complete health and wellness center, we help keep you healthy with checkups, preventative care, screenings and wellness visits.

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SERVICES PROVIDED

  • COVID-19 Testing
  • Urgent Care
  • Blood Work/On-site lab services
  • Chiropractic Services
  • Pain Management
  • Botox Injections
  • Immunization / Injections
  • IV Infusion Therapies

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Findatopdoc Top Doctor Badge
Dr. Carlos Barrera
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He also has held various administrative roles that included being the nurse manager in the emergency department, electrophysiology/cath lab, and quality management. During his 2013-2018 tenure as a quality management specialist for Lenox-Hill Hospital, he created the “Sepsis Toolbox” that was presented at the High-Reliability Conference in Washington DC and was implemented throughout the Northwell Health System. As an aspiring provider, he obtained certifications in emergency medicine, pediatrics, and critical care. He completed his bachelor’s degree in nursing, and then pursued graduate studies to become a nurse practitioner. As a nurse practitioner, he has practiced as a hospitalist within the Northwell Health System and in urgent care clinics. He holds various hospital privileges throughout New York City and serves as a consultant for several health care organizations. During his free time, Mr. Aldrich enjoys fitness, traveling, reading, scuba diving, skydiving, and spartan competitions.

Education 

Graduate Institution 

Hofstra University- Master of Science (nursing)

Undergraduate Institution 

New Jersey City University- Bachelor of Science (nursing)

Languages: American Sign Language

Professional Associations: 

American Association of Nurse Practitioner

Emergency Nurses Association

American Heart Association

Emergency Nurses Association

Sigma Theta Tau

christian-one-care-health

Mr. DéFournoy also has experience in various patient care settings roles and administrative roles as a pediatric/adult visiting nurse, med-surg, telemetry and nursing management. With his love and compassion for helping others, he was one of the first nurses to travel around the country to help hospitals in dire need during the Covid-19 pandemic. Growing up with an immigrant mother who worked in healthcare to help others and raise her kids, Mr. DéFournoy was inspired by her hard work, ethics and commitment to the patients. Working as a nurse today, Mr. DéFournoy brings these values taught to him as he continues to serve the communities in need. Mr. DéFournoy is committed to new innovative ideas to bring evidence-based care to all his patients.

Graduate Institution

Walden University- Master of Science (nursing)

Undergraduate Institution 

Chamberlain University College of Nursing- Bachelor of Science (nursing)

The Helene Fuld College of Nursing- Associate of Science (nursing)

The Eastern Suffolk School of Practical Nursing- Certification (licensed practical nurse)

Languages: Haitian-Creole

Associations 

American Heart Association

PBBM

Sigma Theta Tau

American Nursing Association

American Red Cross

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Dr. Barrera brings with him his experience and passion in executive leadership and healthcare to create strong, sustainable, professional, and accessible healthcare to the Staten Island community. He has a track record of founding, opening, leading and managing health care companies to a level of great sustainability, professional relationships and revenue. In addition to his role at OneCare Health- Advanced Practice Health and Wellness, Dr. Barrera currently, serves in both clinical and administrative roles in hospital and private practice

settings, seeing patients, leading teams, service lines and departments.

He served as the founder and CEO of Speedy Sticks, LLC a New York City based, nationally operating, mobile health care concierge company from 2020-2021, before he sold his shares/interests in the company. Between 2017-2019, he served as the founder and CEO of HealthCare Navigation Consultants until its absorption by a non-profit. He is known to regularly participate in pro-bono work and community service. He is a sought-out industry leader in laboratory medicine, chiropractic medicine, concierge medicine and healthcare administration, serving as a consultant for various private sectors, healthcare professionals and institutions. He is also currently pursuing his master’s degree in public health with a concentration in health policy and management from his graduate alma mater, The University of Bridgeport. He is a contributing expert author for FindaTopDoc, writing on various topics such as: healthcare leadership, laboratory medicine, urgent-care medicine, higher education and chiropractic medicine. He holds appointment as an adjunct faculty member at The City University of New York- The College of Staten Island. Dr. Barrera teaches students

in the following courses/topics: laboratory medicine, phlebotomy, anatomy and physiology, biology, and medical terminology. In his time within the New York healthcare arena, he has been featured on NY1 News, Staten Island Advance, New York Weekly, CBS-new, Fox-news, USA-Today, Digital Journal, NBC-news, Thrive Global, and Staten Island live. During his free time, he enjoys fitness, traveling, and research.

Medical School

The University of Bridgeport- Doctorate

Graduate Institution

The University of Bridgeport- Master of Public Health (health policy and management)

Undergraduate Institution

St. Francis College- Bachelor of Science (Biology: pre-medicine studies)

Associate of Art- Liberal Arts

Hospital Affiliations

Northwell Health- Staten Island University Hospital

Mount Sinai Health System

Teaching Appointments

The City University of New York- The College of Staten Island

Clerkships

Stony Brook Medicine

UB Clinics

Languages

Spanish

Italian

Professional Associations

American Society for Clinical Pathology

American Heart Association

ACA

Tau Kappa Epsilon (TKE)