New York City Department of Health and Mental Hygiene Forms

This type of document is used to apply for a death certificate in New York City. The application is available in English and Haitian Creole.

This form is used for applying for a death certificate in New York City. It is available in English and Arabic.

This form is used for applying for a death certificate in New York City. It is available in both English and Italian languages.

This type of document is used to apply for a death certificate in New York City. It can be filled out in either English or Russian.

This document is used to apply for a death certificate in New York City. It is available in both English and Urdu languages.

This document is for applying for a dog license in New York City. A dog license is required by law for all dogs in the city.

This document outlines the privacy practices and policies followed by healthcare providers in New York City. It explains how personal health information is protected and used by healthcare providers.

This type of document is the "Receipt of Privacy Practices Notice" in New York City (in Spanish). It acknowledges that the recipient has received and understands the privacy practices of a certain organization or entity.

This fact sheet provides information about Multisystem Inflammatory Syndrome in Children (MIS-C) in New York City. It includes details on symptoms, diagnosis, and treatment options.

This document provides guidance on how to safely manage congregate settings, such as nursing homes and group homes, during the Covid-19 pandemic in New York City. It includes recommendations for infection control measures, testing protocols, and monitoring the health of residents and staff.

This document provides information about the privacy practices of healthcare providers in New York City, specifically for individuals who speak Haitian Creole. It outlines how personal health information is safeguarded and the rights of patients regarding their medical records.

This document is a notification letter regarding tuberculosis insurance billing in New York City. It provides important information regarding insurance billing for tuberculosis-related services.

This document is a notification letter about tuberculosis insurance billing in New York City, specifically in Haitian Creole language. It provides information regarding the insurance billing process for tuberculosis-related expenses.

This document is a notification letter regarding the sliding scale fees in New York City. It explains how the fees are determined based on an individual's income, and provides information on how to apply for the sliding scale program.

This document is a notification letter and sliding scale for healthcare services in New York City. It is written in Haitian Creole.

This form is used for applying for a birth certificate in New York City. It is available in both English and Spanish languages.

This form is used for applying for a copy of an Acknowledgment of Parentage in New York City. It is available in both English and Spanish.

This form is used for completing a mother/parent worksheet in New York City. It is an important document for parents to provide information related to their child's well-being and upbringing.

This document is used for requesting an immunization record in New York City. It is specifically provided in Haitian Creole language.

This document is used to request immunization records in New York City for individuals who speak Italian.

This document for vendors in New York City includes a confidentiality statement to protect sensitive information.

This document is a confidentiality statement for health care providers in New York City. It outlines the importance of patient privacy and the legal obligations of health care professionals to protect confidential information.

This document is used for disclosing any conflicts of interest in New York City. It certifies that the individual has disclosed any potential conflicts of interest.

This document is used to create a family tree or establish a link to a deceased individual in New York City.

This document is used for tracing and documenting family lineage in New York City for individuals of Haitian Creole descent.

This document is used to trace and link the family tree of an individual who has roots in Italian ancestry in New York City.

This document is used to trace the family tree and link to a deceased individual in New York City who has French ancestry.

This document provides information on accommodations for workers in New York City. It details the various options and resources available to ensure comfortable and safe living arrangements for employees in the city. From affordable housing programs to workplace benefits, this document offers valuable information for workers seeking accommodation in New York City.

This form is used for applying for a birth certificate in New York City. It is available in both English and Chinese languages.

This form is used for applying for a birth certificate in New York City. It is available in both English and Russian languages.

This form is used for applying for a birth certificate in New York City. It is available in both English and Chinese Simplified languages.

This form is used for applying for a birth certificate in New York City. It is available in both English and Korean.