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.
Q: What is Form DOH-4387?
A: Form DOH-4387 is the Notification of Loss/Theft of Official New York State Prescriptions.
Q: What is the purpose of Form DOH-4387?
A: The purpose of Form DOH-4387 is to report the loss or theft of official New York State prescriptions.
Q: What should I do if I have lost or had my official New York State prescriptions stolen?
A: If you have lost or had your official New York State prescriptions stolen, you should fill out Form DOH-4387 to report the incident.
Q: What information do I need to provide on Form DOH-4387?
A: On Form DOH-4387, you will need to provide your name, address, information about the lost or stolen prescriptions, and any additional details about the incident.
Q: Is there a deadline for submitting Form DOH-4387?
A: Yes, there is a deadline for submitting Form DOH-4387. It must be submitted within 48 hours of discovering the loss or theft.
Q: What happens after I submit Form DOH-4387?
A: After you submit Form DOH-4387, the New York State Department of Health will be notified about the loss or theft of your official New York State prescriptions.
Form Details:
Download a printable version of Form DOH-4387 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.