Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese)

Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese)

This is a legal form that was released by the New York State Department of Health - a government authority operating within New York.

The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2011;
  • The latest edition provided by the New York State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form DOH-2557 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Department of Health.

ADVERTISEMENT

Download Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese)

4.5 of 5 (6 votes)
  • Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese)

    1

  • Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese), Page 2

    2

  • Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese), Page 3

    3

  • Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese), Page 1
  • Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese), Page 2
  • Form DOH-2557 Authorization for Release of Health Information and Confidential HIV Related Information - New York (Chinese), Page 3
Prev 1 2 3 Next
ADVERTISEMENT

Related Documents