Form C-3.3 Limited Release of Health Information (HIPAA) - New York (Italian)

Form C-3.3 Limited Release of Health Information (HIPAA) - New York (Italian)

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.

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

FAQ

Q: What is the purpose of Form C-3.3?A: Form C-3.3 is used to request a limited release of health information under HIPAA in New York.

Q: Who uses Form C-3.3?A: This form is used by individuals or organizations requesting a limited release of health information in New York.

Q: What is HIPAA?A: HIPAA stands for Health Insurance Portability and Accountability Act. It is a federal law that protects the privacy and security of health information.

Q: What does a limited release of health information mean?A: A limited release of health information means that only specific and designated information will be shared with the recipient.

Q: Why is this form available in Italian?A: This form is available in Italian to meet the language needs of Italian-speaking individuals in New York.

ADVERTISEMENT

Form Details:

  • Released on December 1, 2009;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form C-3.3 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-3.3 Limited Release of Health Information (HIPAA) - New York (Italian)

4.5 of 5 (28 votes)
  • Form C-3.3 Limited Release of Health Information (HIPAA) - New York (Italian), Page 1
ADVERTISEMENT

Related Documents