- Legal
- United States Legal Forms
- New York Legal Forms
- New York State Department of Health
Documents
364
OCA Official Form 960 "Authorization to Release Health Information Pursuant to Hipaa" - New York
Size: 62 KB
2 pages
This is a legal document signed by a patient that gives consent to the release of health information within the state of New York.
Form 2015 "Verification of Medicaid Transportation Abilities" - New York
Size: 188 KB
2 pages
This is a form used by the residents of New York to request a specific mode of transportation which is necessary because they are unable to use public transportation to go to school, places of worship, stores, etc.
Form DOH-4444 "Self-declaration of Income" - New York
Size: 20 KB
1 page
This is one of the documents you need to fill out when applying for Public Health Insurance Programs in the state of New York.
Form DOH-4359 "Physician's Order for Personal Care/Consumer Directed Personal Assistance Services" - New York
Size: 79 KB
4 pages
This form can be used by individuals who would like to apply for certain types of assistance in the state of New York, such as home care, help with skilled or personal tasks, housekeeping, etc.
Form DOH-89 "Certified Class List for Ancillary EMS Training Courses" - New York
Size: 44 KB
2 pages
Form DOH-5003 "Medical Orders for Life-Sustaining Treatment (Molst)" - New York
Size: 199 KB
4 pages
