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 Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form C-3.3C?
A: Form C-3.3C is a Limited Release of Health Information form.
Q: What is the purpose of Form C-3.3C?
A: The purpose of Form C-3.3C is to authorize the release of health information.
Q: Who can use Form C-3.3C?
A: Form C-3.3C can be used by individuals in New York.
Q: Is Form C-3.3C specific to a certain language?
A: Yes, Form C-3.3C is specific to Chinese language in New York.
Q: What does HIPAA stand for?
A: HIPAA stands for Health Insurance Portability and Accountability Act.
Q: Is the release of health information protected under HIPAA?
A: Yes, the release of health information is protected under HIPAA.
Q: Is Form C-3.3C required for every health information release?
A: Yes, Form C-3.3C is required for every limited release of health information.
Q: Are there any fees associated with using Form C-3.3C?
A: There may be fees associated with using Form C-3.3C, depending on the healthcare provider or facility.
Form Details:
Download a printable version of Form C-3.3C by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.