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

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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 Korean. 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 related to health care facilities in New York.

Q: Who can use the DOH-3867 Complaint Form?
A: Any individual who wants to report a complaint regarding a health care facility in New York can use the DOH-3867 Complaint Form.

Q: Is the DOH-3867 Complaint Form available in Korean?
A: Yes, the DOH-3867 Complaint Form is available in Korean as well as other languages.

Q: What kind of complaints can be reported using the DOH-3867 Complaint Form?
A: The DOH-3867 Complaint Form can be used to report complaints related to health care facilities, such as quality of care, cleanliness, safety concerns, etc.

Q: Is there a deadline for submitting the DOH-3867 Complaint Form?
A: There is no specific deadline for submitting the DOH-3867 Complaint Form. It is recommended to submit the form as soon as possible after the incident occurs.

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

Q: What happens after I submit the DOH-3867 Complaint Form?
A: After you submit the DOH-3867 Complaint Form, the New York Department of Health will review the complaint and conduct an investigation if necessary.

Q: Can I submit the DOH-3867 Complaint Form anonymously?
A: Yes, you can submit the DOH-3867 Complaint Form anonymously if you prefer not to disclose your personal information.

Q: Is there any fee associated with submitting the DOH-3867 Complaint Form?
A: No, there is no fee associated with submitting the DOH-3867 Complaint Form. It is a free service provided by the New York Department of Health.

Form Details:

Released on July 1, 2015;
The latest edition provided by the New York State Department of Health;
Easy to use and ready to print;
Quick to customize;
Compatible with most PDF-viewing applications;

Download a printable version of Form DOH-3867 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.