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Form OCFS-4411-KO Potassium Iodide (Ki) Refusal / Opt-Out Form - New York (Korean)
This is a legal form that was released by the New York State Office of Children and Family Services - 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 Form OCFS-4411-KO?
A: Form OCFS-4411-KO is the Potassium Iodide (Ki) Refusal/Opt-Out Form specifically for New York residents.
Q: What does Potassium Iodide (Ki) Refusal/Opt-Out Form mean?
A: The Potassium Iodide (Ki) Refusal/Opt-Out Form is a document that allows individuals to choose not to receive potassium iodide medication in the event of a radiological emergency.
Q: Who needs to fill out Form OCFS-4411-KO?
A: New York residents who wish to opt-out of receiving potassium iodide medication during a radiological emergency may need to fill out this form.
Q: What is the purpose of Potassium Iodide (Ki) medication?
A: Potassium Iodide (Ki) medication is used to protect the thyroid gland in case of radioactive iodine exposure during a radiological emergency.
Q: What should I do if I want to refuse Potassium Iodide (Ki) medication?
A: If you wish to refuse Potassium Iodide (Ki) medication, you should fill out Form OCFS-4411-KO and submit it to the appropriate authority in New York.
Q: Is the Potassium Iodide (Ki) Refusal/Opt-Out Form available in languages other than Korean?
A: Yes, the form is available in multiple languages, including Korean.
Q: Can I change my mind after filling out the Potassium Iodide (Ki) Refusal/Opt-Out Form?
A: Yes, you can change your mind and rescind your refusal for Potassium Iodide (Ki) medication at any time.
Q: What are the benefits of Potassium Iodide (Ki) medication?
A: Potassium Iodide (Ki) medication can help protect the thyroid gland from radioactive iodine and reduce the risk of developing thyroid cancer.
Q: When should I submit Form OCFS-4411-KO?
A: You should submit Form OCFS-4411-KO before a radiological emergency occurs to ensure that your refusal of Potassium Iodide (Ki) medication is on record.
Form Details:
- Released on February 1, 2019;
- The latest edition provided by the New York State Office of Children and Family Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form OCFS-4411-KO by clicking the link below or browse more documents and templates provided by the New York State Office of Children and Family Services.
