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Form C-5 Attending Ophthalmologist's Report - New York
What Is Form C-5?
This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form C-5?
A: Form C-5 is the Attending Ophthalmologist's Report in New York.
Q: Who completes Form C-5?
A: The attending ophthalmologist completes Form C-5.
Q: What is the purpose of Form C-5?
A: Form C-5 is used to report the medical condition and treatment of a patient's eye injury or condition.
Q: Are there any fees associated with Form C-5?
A: No, there are no fees associated with Form C-5.
Q: What information is required on Form C-5?
A: Form C-5 requires information about the patient's personal details, medical condition, treatment, and the attending ophthalmologist's assessment.
Q: Is Form C-5 confidential?
A: Yes, Form C-5 is considered confidential medical information and is protected by privacy laws.
Form Details:
- Released on October 1, 2015;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form C-5 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form C-5 Attending Ophthalmologist's Report - New York
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