ICS MEMBERS

Welcome!

Enrolling is now easier than ever. To complete an enrollment form online, or through your smart phone, simply call 646.653.6230 and an ICS representative will walk you through the quick process. You can also print, complete, and mail a physical form to: Independence Care System, 400 East Fordham Rd., 10th FL., Bronx, NY 10458.

Here you can view and download Health Home program material in English, Spanish, and Russian.

ICS Partnership Intro Letter
Available in English, Spanish and Russian.

ICS Health Home Benefits/Services Flyer
Available in English, Spanish and Russian.

ICS Enrollment Consent Form
Available in English, Spanish and Russian.

ICS Enrollment Consent Form Instruction Flyer
Available in English, Spanish and Russian.