Form DOH-5032KO Authorization for Release of Health Information (Including Alcohol / Drug Treatment and Mental Health Information) and Confidential HIV / AIDS-Related Information - New York (Korean)

Form DOH-5032KO Authorization for Release of Health Information (Including Alcohol / Drug Treatment and Mental Health Information) and Confidential HIV / AIDS-Related Information - New York (Korean)

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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DOH-5032KO?
A: Form DOH-5032KO is the Authorization for Release of Health Information (Including Alcohol/Drug Treatment and Mental Health Information) and Confidential HIV/AIDS-Related Information - New York (Korean).

Q: What does this form authorize?
A: This form authorizes the release of health information, including alcohol/drug treatment and mental health information, as well as confidential HIV/AIDS-related information.

Q: Is this form specific to New York?
A: Yes, this form is specifically for use in New York.

Q: What language is this form in?
A: This form is in Korean.

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Form Details:

  • Released on April 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-5032KO by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-5032KO Authorization for Release of Health Information (Including Alcohol / Drug Treatment and Mental Health Information) and Confidential HIV / AIDS-Related Information - New York (Korean)

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  • Form DOH-5032KO Authorization for Release of Health Information (Including Alcohol / Drug Treatment and Mental Health Information) and Confidential HIV / AIDS-Related Information - New York (Korean), Page 1
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