This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.
The document is provided in Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form C-3.3R?
A: Form C-3.3R is a Limited Release of Health Information (HIPAA) form used in New York.
Q: What does Form C-3.3R allow?
A: Form C-3.3R allows the limited release of health information in accordance with HIPAA (Health Insurance Portability and Accountability Act).
Q: Who uses Form C-3.3R?
A: Form C-3.3R is typically used by individuals or organizations in New York who need to release limited health information while complying with HIPAA.
Q: What language is Form C-3.3R available in?
A: Form C-3.3R is available in Russian for use in New York.
Q: What is the purpose of Form C-3.3R?
A: The purpose of Form C-3.3R is to authorize the release of limited health information while protecting the privacy and confidentiality of the patient's medical records.
Form Details:
Download a printable version of Form C-3.3R by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.