How to Enroll

If you responded or volunteered during 9/11 but are not yet enrolled in the WTC Health Program, call us at 888-702-0630.

To apply for enrollment as a "General Responder," you must complete the application form below and send it to the WTC Health Program along with the required documentation. Eligibility decisions are made by the National Institute for Occupational Safety and Health (NIOSH), part of the Centers for Disease Control and Prevention, which administers the WTC Health Program. Individuals interested in enrollment information for other eligible groups (FDNY, NYC Survivor, and Pentagon/Shanksville, PA Responders), can visit the CDC's website.

Download a General Responder Form:

Eligibility Form - English [PDF]

Eligibility Form - Spanish [PDF]

Eligibility Form - Polish [PDF]

Follow the directions on the form. You can download the form and complete it electronically or you can print it and complete it manually. If you complete the form electronically, you will need to print the form and sign and date it before sending your application. If you have any questions, call the World Trade Center Health Program toll free at 1-888-982-4748 (1-888-WTC-HP4U).

Contact Us

Tel: 888-702-0630
Send e-mail

Manhattan Clinical Center
1468 Madison Avenue
Annenberg Building, 3rd Floor
New York, NY 10029 map

Staten Island Clinical Center
2052 Richmond Road, Suite 2A
Staten Island, NY 10306 map

Yonkers Clinical Center
1020 Warburton Avenue, Suite 1
Yonkers, NY 10701 map
​(Treatment services only at this location)

Hours vary by location