Form MAP-751D Authorization for Disclosure of Individual Health Information (Individual / Business / Consumer Representative) - New York City

What Is Form MAP-751D?

This is a legal form that was released by the New York City Department of Social 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.

Form Details:

• Released on January 15, 2015;
• The latest edition provided by the New York City Department of Social Services;
• 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 printable version of Form MAP-751D by clicking the link below or browse more documents and templates provided by the New York City Department of Social Services.