EPIC Application and Contact Information
How can I get an EPIC application?
- Download and print the EPIC Application form in English (PDF, 693KB, 2pg.)
- Descargar e imprimir la aplicación de EPIC en español (PDF, 630KB, 2pg.) Ayuda con archivos PDF
- Request an EPIC Application using the on-line Application Request Form
- Call 1-800-332-3742 (TTY 1-800-290-9138) for more information or an application
How can I find out more about EPIC?
- EPIC operates a toll-free Helpline which is available from 8:30AM to 5:00PM, Monday through Friday. Call 1-800-332-3742 (TTY 1-800-290-9138) for more information or to request an application.
- You can also write to us at:
EPIC
P.O. Box 15018
Albany, NY 12212-5018 - Or email us at: epic@health.state.ny.us.