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Form DOH-5032FR Authorization for Release of Health Information (Including Alcohol / Drug Treatment and Mental Health Information) and Confidential HIV / AIDS-Related Information - New York (French)
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 French. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form DOH-5032FR?A: The purpose of Form DOH-5032FR is to authorize the release of health information, including alcohol/drug treatment and mental health information, and confidential HIV/AIDS-related information in New York.
Q: Who needs to use Form DOH-5032FR?A: Any individual who wants to release their health information, including alcohol/drug treatment and mental health information, and confidential HIV/AIDS-related information in New York, needs to use this form.
Q: Is this form specific to New York only?A: Yes, Form DOH-5032FR is specific to New York.
Q: What types of health information can be released with this form?A: This form authorizes the release of health information, including alcohol/drug treatment and mental health information, and confidential HIV/AIDS-related information.
Q: Is this form available in French language?A: Yes, Form DOH-5032FR is available in French language.
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 Forme DOH-5032FR by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
