Form DOH-3867 Complaint Form - New York (Haitian Creole)

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 Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DOH-3867 Complaint Form?
A: The DOH-3867 Complaint Form is a form used to report complaints in the state of New York.

Q: What language is the form available in?
A: The form is available in Haitian Creole.

Q: What kind of complaints can be reported using this form?
A: Any type of complaint related to health and healthcare services in New York can be reported using this form.

Q: Who can submit a complaint using this form?
A: Anyone who has a complaint about health or healthcare services in New York can submit a complaint using this form.

Q: Is the form confidential?
A: Yes, the information provided on the DOH-3867 Complaint Form is confidential and will only be used for the purpose of investigating the complaint.

Q: What should I do if I need help filling out the form?
A: If you need assistance with filling out the form, you can contact the Department of Health or a language interpreter to help you.

Q: Are there any fees associated with submitting a complaint using this form?
A: No, there are no fees associated with submitting a complaint using the DOH-3867 Complaint Form.