Regardless of income (rich, poor or homeless) Better Urban Health ALWAYS goes the extra mile to help EVERY child become the absolute best person that he or she can be.

Kai Smith, Managing Partner | CEO

interest & consent Form

Parent/Caregiver First Name*

Parent/Caregiver Last Name*

Parent/Caregiver Phone Number#*

Child's First Name*

Child's Last Name*

Child's Current Age*

Child's Date Of Birth*

Are You Interested In Learning More About The Program?

Does Your Child Have 'ACTIVE' Medicaid? *

When Is The Best Time To Call You? *

Email*

Attach Pic of Medicaid Card

Attachments (0)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

We love our customers, so feel free to visit during normal business hours.

209 East 29th Street, New York, New York 10016, United States

Collaborative For Better Urban Health, LLC

209 West 29th Street | Suite: 266 | New York City, NY | 10001