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 the purpose of Form DOH-3379?
A: Form DOH-3379 is used for the Medical Director's Certification of Advanced Level Course Completion in New York.
Q: Who is required to complete Form DOH-3379?
A: Medical Directors who have completed an advanced level course in New York are required to complete this form.
Q: What information is required on Form DOH-3379?
A: The form requires the Medical Director's personal information, details about the advanced level course completed, and the signature of the Medical Director.
Q: How do I submit Form DOH-3379?
A: The completed form should be submitted according to the instructions provided on the form itself or as directed by the relevant department.
Form Details:
Download a fillable version of Form DOH-3379 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.