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Form DHS-14L Patient Agreement to DHS Shelter Discharge for DHS Single Adult Shelters and Street Solutions Facilities - New York City
What Is Form DHS-14L?
This is a legal form that was released by the New York City Department of Homeless Services - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHS-14L Patient Agreement?
A: The DHS-14L Patient Agreement is a form used for DHS Single Adult Shelters and Street Solutions Facilities in New York City.
Q: What is the purpose of the DHS-14L Patient Agreement?
A: The purpose of the DHS-14L Patient Agreement is to facilitate the discharge of patients from DHS shelters and Street Solutions Facilities.
Q: Who uses the DHS-14L Patient Agreement?
A: The DHS-14L Patient Agreement is used by individuals staying in DHS Single Adult Shelters and Street Solutions Facilities in New York City.
Q: What information does the DHS-14L Patient Agreement include?
A: The DHS-14L Patient Agreement includes personal information, medical history, discharge preferences, and consent for release of information.
Q: Is the DHS-14L Patient Agreement mandatory?
A: Yes, individuals staying in DHS Single Adult Shelters and Street Solutions Facilities are required to complete the DHS-14L Patient Agreement.
Form Details:
- Released on March 12, 2019;
- The latest edition provided by the New York City Department of Homeless Services;
- Easy to use and ready to print;
- Available in Bengali;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DHS-14L by clicking the link below or browse more documents and templates provided by the New York City Department of Homeless Services.
