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Form DOH-2557FR Authorization for Release of Health Information and Confidential HIV-Related Information - New York (French)
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York.
The document is provided in French. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH-2557FR?
A: DOH-2557FR is a form for authorization of release of health information and confidential HIV-related information in the state of New York.
Q: Who needs to use DOH-2557FR?
A: This form is used by individuals who want to release their health information, including HIV-related information, to another party in New York.
Q: What information does DOH-2557FR authorize the release of?
A: DOH-2557FR authorizes the release of health information and confidential HIV-related information.
Q: Is DOH-2557FR available in French?
A: Yes, DOH-2557FR is available in French.
Form Details:
- Released on February 1, 2011;
- 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;
Download a printable version of Forme DOH-2557FR by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
Download Form DOH-2557FR Authorization for Release of Health Information and Confidential HIV-Related Information - New York (French)
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