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This form is used for tracking the progress and activities of certified lab instructor interns in New York. It helps to monitor their internship and ensures proper completion of required tasks.

This form is used for submitting a lab instructor audit report in New York.

This Form is used for summarizing the results of the Final Practical Skills Examination in New York.

This Form is used for identifying students who are ineligible to take the State Certifying Examination in New York.

This form is used for the medical director of an advanced level course in New York to certify the completion of the course.

This type of document is used for renewing CME (Continuing Medical Education) certifications in the state of New York.

This form is used for verifying membership in a New York State EMS Agency. It is required to ensure that individuals meet the eligibility criteria for membership in the agency.

This form is used for requesting an extension of certification for military personnel in New York.

This form is used for requesting a duplicate card in the state of New York.

This form is used for registering for the New York State written certification exams class on-site scoring request.

This form is used for instructors in New York to apply for recertification. It allows them to renew their certification and continue teaching.

This form is used for verifying Emergency Medical Services (EMS) certification in the state of New York.

This Form is used for applying for New York State EMT Reciprocity in New York.

This form is used for EMTs seeking reciprocity in the state of New York.

This form is used for reporting public events in New York.

This Form is used for agencies to register with the New York Department of Health.

This form is used for notifying the Department of Health in New York about the intention to provide Public Access Defibrillation.

This form is used for applying for a permit to host a public gathering in New York.

This document provides options for receiving information if you are blind or visually impaired in New York in Haitian Creole.

This form is used for verifying the usage of controlled substances in New York. It is important for monitoring and ensuring compliance with regulations.

This form is used as a supplement to the Access NY Health Care Application, specifically for Chinese-speaking individuals in New York.

This form is used as a supplement to the Access NY Health Care Application DOH-4220 for individuals who speak Haitian Creole and reside in New York. It provides additional information and instructions in Haitian Creole language.

This form is a supplement to the Access NY Health Care Application for Italian speakers in New York. It helps Italian speakers complete the application process.

This form is used for the Access NY program in New York. It is a supplement form in Spanish (DOH-4495A Suplemento A) for applicants who need assistance in accessing healthcare and other benefits.

This Form is used for accessing the HT Supplement A program under Access NY in New York, specifically for individuals who speak Haitian Creole.

This form is used for accessing benefits through the Access NY program in New York specifically for Italian-speaking individuals.

This form is a supplement to the Access NY Health Care Application for individuals in New York who speak Korean. It is known as the DOH-5178A-KO Supplement A.

This form is used as a supplement to the Access NY Health Care Application form DOH-4220 for Russian speakers in New York. It provides additional information or clarifications in Russian language.

This form is used for providers in New York to request a change in their status.

This form is used for notifying and requesting approval for an unlicensed acting administrator in New York.

This document is a request for exemption from mandatory infection control training in New York based on equivalent training.

This document is for professionals in New York who are seeking an exemption from mandatory infection control training due to the nature of their professional practice.

This form is used for providers in New York to reapply for permission to administer or discontinue infection control training.

This type of document provides a general list of items or information related to New York. It could include anything from attractions, events, services, or important contact numbers in New York.

This document is used for recording information about individuals with gastroenteritis in New York.

This form is used for tracking and documenting cases of Clostridium difficile infection in New York.