New York State Department of Health Forms

This form is used for enrolling in the New York State Donate Life Registry, which allows individuals to register as organ, eye, and tissue donors in New York.

This form is used for filing complaints about access to services in your language in New York.

This form is used for filing a complaint regarding access to services in your language in New York. It is specifically designed for individuals who speak Russian.

This form is used for assigning benefits to a healthcare provider in the state of New York.

This section of the document covers specific items related to the state of New York. It provides information and guidelines that are specific to New York residents.

This form is used for applying to the Uninsured Care Programs in New York for individuals without health insurance coverage.

This form is used to request approval for the disposal or destruction of controlled substances in New York.

This form is used for EMS agencies in New York to record and report their semi-annual inventory of controlled substances.

This form is used for scheduling the Emergency Medical Technicians' Exam in New York.

This form is used for reporting the loss of controlled substances in the state of New York. It is important for healthcare providers and facilities to report any losses to ensure public safety and accountability.

This type of document is used for appointing a healthcare agent in New York. The document allows you to choose someone to make medical decisions on your behalf in case you are unable to do so. It is available in Chinese Simplified language.

This Form is used for enrolling in a program or service in New York specifically designed for Haitian Creole speakers.

This type of document is used for registering organ donations in the state of New York.

This document allows individuals in New York who speak Haitian Creole to request changes or specifications.

This form is used for removing individuals from the New York State Donate Life Registry in New York.

This document is for removing your registration from the New York State Donate Life Registry.

Este formulario se utiliza para registrar cambios y especificaciones en el registro de donación de órganos del estado de Nueva York. Este documento es importante para mantener actualizada la información sobre las donaciones de órganos en el estado.

This type of document is used for the cancellation of registration for organ donation in the state of New York.

This Form is used for applying for licensure as a Radiologic Technologist in the state of New York.

This form is used for filing a complaint regarding access to services in your language in New York City, specifically for Chinese speakers. It enables individuals to report any issues they encounter while trying to access services in their preferred language.

This form is used for filing a complaint regarding access to services in your preferred language in New York.

This Form is used for filing complaints regarding access to services in Italian language in New York.

This form is used for filing complaints about accessibility to services in your language in New York, specifically for individuals who speak Bengali.

This Form is used for filing complaints related to access to services in the Korean language in New York. It is specifically designed for Korean-speaking individuals to report any issues they may have encountered while seeking services.

This form is used for applying to register as a facility that can accept and dispose of home-generated sharps in a safe manner in the state of New York.

This form is used for individuals in New York to apply for the Access NY program, which provides access to various health and nutrition assistance programs.

This form is used for certifying the annual water quality report in the state of New York.

This Form is used for consenting to share patient information in Health Home programs in New York.