Form DOH-3379 Medical Director's Certification of Advanced Level Course Completion - New York

Form DOH-3379 Medical Director's Certification of Advanced Level Course Completion - New York

What Is Form DOH-3379?

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 the purpose of Form DOH-3379?A: Form DOH-3379 is used for the Medical Director's Certification of Advanced Level Course Completion in New York.

Q: Who is required to complete Form DOH-3379?A: Medical Directors who have completed an advanced level course in New York are required to complete this form.

Q: What information is required on Form DOH-3379?A: The form requires the Medical Director's personal information, details about the advanced level course completed, and the signature of the Medical Director.

Q: How do I submit Form DOH-3379?A: The completed form should be submitted according to the instructions provided on the form itself or as directed by the relevant department.

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Form Details:

  • Released on April 1, 2017;
  • 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 fillable version of Form DOH-3379 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-3379 Medical Director's Certification of Advanced Level Course Completion - New York

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  • Form DOH-3379 Medical Directors Certification of Advanced Level Course Completion - New York, Page 1
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