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The Member - Primary Care Provider (PCP) Change Request Form has been updated and is available on this site. Providers are asked to attest for a patient’s PCP change by signing, dating and faxing a completed form to fax number: 718-393-6635.
Please download: Primary Care Provider Change Request Form.
Primary Care Provider Change Request Form (Spanish)
Who we are, and why we do what we do.
Fidelis Care is always seeking talented, motivated individuals who want to make a difference in their communities.