Form HRA-102D Request for Medical / Clinical Information (Large Print) - New York City

Form HRA-102D Request for Medical / Clinical Information (Large Print) - New York City

What Is Form HRA-102D?

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.

FAQ

Q: What is Form HRA-102D?
A: Form HRA-102D is a request for medical/clinical information in New York City.

Q: Who can use Form HRA-102D?
A: Anyone in New York City who needs to request medical/clinical information can use Form HRA-102D.

Q: Is Form HRA-102D available in large print?
A: Yes, Form HRA-102D is available in large print.

Q: Why do I need to fill out Form HRA-102D?
A: You need to fill out Form HRA-102D to request medical/clinical information.

Q: Are there any eligibility requirements for using Form HRA-102D?
A: There may be eligibility requirements to use Form HRA-102D, depending on the specific situation. It is best to check with the relevant authority or office.

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Form Details:

  • Released on March 14, 2018;
  • The latest edition provided by the New York City Department of Social Services;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HRA-102D by clicking the link below or browse more documents and templates provided by the New York City Department of Social Services.

Download Form HRA-102D Request for Medical / Clinical Information (Large Print) - New York City

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