New York State Department of Health Forms

This Form is used for submitting an engineering report for swimming pool plans in New York.

This form is used for submitting a notice of intent to construct, enlarge, or convert a facility in the state of New York.

This form is used for obtaining parental or legal guardian consent for body piercing of a person under 18 years of age in the state of New York.

This document provides information on the number of nursing home and adult care facility (ACF) COVID-related deaths statewide in New York.

This document provides information on the number of COVID-related deaths in nursing homes across New York State.

This type of document is used for requesting medical necessity for children and family treatment and support services in New York.

This form is used for applying for a permit to operate in New York. It is required for businesses or individuals who want to operate in certain industries or activities.

This document provides important information about Covid-19 specifically for residents of New York. It covers what New Yorkers need to know, including updates, guidelines, and resources.

This form is used for filing a complaint about language access issues in New York.

Este formulario es utilizado para presentar quejas sobre el acceso a otros idiomas en la ciudad de Nueva York.

This document is for listing the projects included in the Drinking Water State Revolving Fund (DWSRF) in New York. It outlines the intended use plans for these projects.

This Form is used for reporting inspections of certified ambulance vehicles in New York.

This Form is used for requesting Uninsured Care Programs in New York. It is in Spanish.

This form is used for applying to the Uninsured Care Programs in New York specifically for Italian residents.

This form is used for applying to the Uninsured Care Programs in New York for Bengali-speaking residents who do not have health insurance.

This form is used for applying for the Uninsured Care Programs in New York, specifically for those who speak Haitian Creole.

This form is used for applying to the Uninsured Care Programs in New York by Korean speakers who do not have health insurance.

This form is used for applying to the Uninsured Care Programs in New York, specifically for Russian-speaking individuals.

This form is used for applying to the Uninsured Care Programs in New York. It is available in Yiddish.

This Form is used for applying to the Uninsured Care Programs in New York, specifically for Arabic speakers.