Form DOH-3867 Complaint Form - New York (Russian)

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 Russian. 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 in New York to file complaints regarding health care facilities.

Q: What is the purpose of the form?
A: The purpose of the form is to allow individuals to report concerns or complaints about health care facilities.

Q: Who can file a complaint using this form?
A: Any individual who has concerns or complaints about a health care facility in New York can file a complaint using this form.

Q: What information is required on the form?
A: The form requires information such as the name and address of the health care facility, details of the complaint, and contact information of the person filing the complaint.

Q: How can the completed form be submitted?
A: The completed form can be submitted by mail or fax to the New York State Department of Health.

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

Q: Is the form available in languages other than English?
A: Yes, the form is available in multiple languages, including Russian.

Q: How long does it take to process a complaint?
A: The processing time for a complaint can vary depending on the nature and complexity of the complaint.

Q: What should I do if I have additional questions or need assistance with the form?
A: If you have additional questions or need assistance with the form, you can contact the New York State Department of Health for guidance.