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 Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form C-3.3I?
A: Form C-3.3I is a limited release of health information form.
Q: What does HIPAA stand for?
A: HIPAA stands for Health Insurance Portability and Accountability Act.
Q: What is the purpose of Form C-3.3I?
A: The purpose of Form C-3.3I is to authorize the release of limited health information under HIPAA.
Q: Who can use Form C-3.3I?
A: Form C-3.3I can be used by individuals in New York who need to authorize the release of their health information.
Q: Is Form C-3.3I specific to a language?
A: Yes, Form C-3.3I is specific to the Italian language.
Q: What is limited release of health information?
A: Limited release of health information refers to the release of only specific information, as authorized by the individual.
Form Details:
Download a printable version of Form C-3.3I by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.