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Form DOH-4358 Notification From Pharmacy - Practitioner Failure to Provide Official Prescription - New York
What Is Form DOH-4358?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DOH-4358?
A: Form DOH-4358 is a notification form used in New York.
Q: Who uses Form DOH-4358?
A: Pharmacies and practitioners in New York use Form DOH-4358.
Q: What is the purpose of Form DOH-4358?
A: The purpose of Form DOH-4358 is to notify the New York Department of Health when a practitioner fails to provide an official prescription to a pharmacy.
Q: What should pharmacies do if a practitioner fails to provide an official prescription?
A: Pharmacies should complete and submit Form DOH-4358 to notify the New York Department of Health about the issue.
Q: Is Form DOH-4358 specific to New York?
A: Yes, Form DOH-4358 is specific to New York and is used for reporting purposes in the state.
Form Details:
- Released on July 1, 2012;
- 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;
- Fill out the form in our online filing application.
Download a printable version of Form DOH-4358 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
