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Form DOH-5060 Health Home Statement and Certification - New York
What Is Form DOH-5060?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH-5060 Health Home Statement and Certification?
A: DOH-5060 is a form used in New York for the purpose of Health Home Statement and Certification.
Q: Who needs to complete the DOH-5060 form?
A: Health Home providers in New York are required to complete the DOH-5060 form.
Q: What is the purpose of the DOH-5060 form?
A: The purpose of the DOH-5060 form is to certify that a Health Home meets the requirements set forth by the New York State Department of Health.
Q: What information is required on the DOH-5060 form?
A: The DOH-5060 form requires information about the Health Home, including its name, contact information, and the services it provides.
Form Details:
- Released on November 1, 2015;
- The latest edition provided by the New York State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DOH-5060 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
Download Form DOH-5060 Health Home Statement and Certification - New York
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