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Form C-3.3B Limited Release of Health Information (HIPAA) - New York (Bengali)
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 Bengali. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form C-3.3B?
A: Form C-3.3B is a Limited Release of Health Information (HIPAA) form.
Q: What does the form allow?
A: The form allows you to release limited health information.
Q: Is this form specific to New York?
A: Yes, this form is specific to New York.
Q: Is the form available in Bengali language?
A: Yes, the form is available in Bengali language.
Form Details:
- Released on December 1, 2009;
- The latest edition provided by the New York State Workers' Compensation Board;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a fillable version of Form C-3.3B by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
