• Select Language ←
    • Spanish
    • Chinese (Traditional)
    • Korean
    • Russian
  • 1.877.ICS.2525
  • TTY 711
  • info@icsny.org
Independence Care System
  • Youtube
  • Facebook
  • Twitter
  • Linkedin
  • Soundcloud
  • Rss
  • About Us
      • Mission Statement
      • History
      • Meet Our Senior Staff
      • Meet Our Board
      • ICS Publications and Videos
      • Useful External Links
      • ICS in the News
  • The ICS Difference
      • Our Care System
      • Meet Our Members
      • Our Specialized Services
      • Our Social Programs
      • Special Events
      • Special Event Galleries
      • Calendar of ICS Social Programs
      • Member Council
      • The Independent Newsletter: Digital Edition
      • The ICS Snapshot – Our Quarterly Digital Newsletter
      • For ICS Community Members
      • Find Out More: Watch These Videos
  • Get Started
      • Enroll or Make a Referral
      • For Prospective ICS Community Members
      • For Family Caregivers
      • For Providers
      • For Health Care Professionals
  • Our Plan
    • ICS Community Care MLTC
      • ICS Community Care MLTC
      • Why ICS Community Care is the Plan for You: A Checklist
      • How to Join
      • Guaranteed Managed Long-Term Care Services
      • Frequently Asked Questions
      • ABCs of Managed Long-Term Care—A Glossary
      • Your Rights and Plan Protections
      • Member Handbook
      • Provider Directory
      • Brochures and Tip Sheets
      • For Providers
      • For Members
  • Careers
      • Our Commitment to Our Staff
      • Career Opportunities
      • How we Care for Our Colleagues
      • Meet Our Staff
  • ICS Blog
  • The Independent
  • Contact Us
  • Search
  • Menu

Web Referral Form

You are here: Home / Web Referral Form

2018 © Independence Care System. All rights reserved
  • Home
  • Calendar of ICS Social Programs
  • Our Care System
  • Contact Us
  • MLTC Provider Invoice Tracking
  • Site Map
Scroll to top