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Tech Pals

Refer Patient

646-769-6245
Refer Patient

In this Section

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  • Tech Pals Contact Us
  • Refer Patient
  • Tech Pals Contact Us

For Doctors and Professionals

Please submit the online referral form below or download the form and return to Lighthouse Guild by:

Mail: Lighthouse Guild, ATTN: Judy Katzen, 250 W 64th St, 3rd Floor, New York, NY 10023

Download PDF, 751.7KB

Tech Pals Referral Form

Download Referral Form

Online Referral Form

Fill out my online form.

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Contact info:

Lighthouse Guild

800-284-4422 TTY 711

250 West 64th Street,
New York, NY 10023
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