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 Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DOH-5178A-IT supplement A?
A: The DOH-5178A-IT supplement A is a supplement to the Access NY Health Care Application form Doh-4220, specifically in Italian language.
Q: What is the purpose of the DOH-5178A-IT supplement A?
A: The DOH-5178A-IT supplement A is used to provide additional information and instructions for completing the Access NY Health Care Application form Doh-4220 in Italian.
Q: Who needs to use the DOH-5178A-IT supplement A?
A: The DOH-5178A-IT supplement A is intended for individuals who prefer to complete the Access NY Health Care Application form Doh-4220 in Italian.
Q: Can I use the DOH-5178A-IT supplement A if I don't speak Italian?
A: No, the DOH-5178A-IT supplement A is specifically designed for individuals who understand and prefer to complete the Access NY Health Care Application form Doh-4220 in Italian.
Q: Is the DOH-5178A-IT supplement A mandatory?
A: The use of the DOH-5178A-IT supplement A is not mandatory, but it can be helpful for individuals who are more comfortable completing the Access NY Health Care Application form Doh-4220 in Italian.
Q: Is the information provided in the DOH-5178A-IT supplement A the same as the English version?
A: Yes, the information provided in the DOH-5178A-IT supplement A is the same as the English version, but it is translated into Italian for the convenience of Italian-speaking individuals.
Form Details:
Download a printable version of Form DOH-5178A-IT Supplement A by clicking the link below or browse more documents and templates provided by the New York State Department of Health.