PDF
Word
Form DOH-4135 Notice of Intent to Provide Public Access Defibrillation - New York
What Is Form DOH-4135?
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 Form DOH-4135?
A: Form DOH-4135 is the Notice of Intent to Provide Public Access Defibrillation in New York.
Q: What is Public Access Defibrillation?
A: Public Access Defibrillation refers to making automated external defibrillators (AEDs) available to the general public in order to provide life-saving intervention during sudden cardiac arrest.
Q: Who needs to submit Form DOH-4135?
A: Any entity or organization that intends to provide public access defibrillation in New York needs to submit Form DOH-4135.
Q: What information is required on Form DOH-4135?
A: Form DOH-4135 requires information about the entity providing public access defibrillation, the locations where AEDs will be placed, and other related details.
Q: Is there a fee for submitting Form DOH-4135?
A: No, there is no fee for submitting Form DOH-4135.
Q: What happens after submitting Form DOH-4135?
A: After submitting Form DOH-4135, the entity will receive a certificate of public access defibrillation, which allows them to legally provide AEDs to the public.
Q: What are the responsibilities of entities providing public access defibrillation?
A: Entities providing public access defibrillation are responsible for properly maintaining and testing the AEDs, ensuring trained personnel are available, and reporting any AED uses or malfunctions to the Department of Health.
Q: Can AEDs be used by anyone?
A: Yes, AEDs are designed to be used by individuals with little to no medical training. They provide voice prompts and visual instructions to guide users through the process of administering a shock.
Q: How effective are AEDs in saving lives?
A: AEDs are highly effective in saving lives during sudden cardiac arrest. The sooner an AED is used, the better the chances of survival for the individual experiencing cardiac arrest.
Form Details:
- Released on August 1, 2016;
- 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 fillable version of Form DOH-4135 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
