This is a legal form that was released by the New York State Department of Health - a government authority operating within New York.
The document is provided in Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form DOH-2794?
A: Form DOH-2794 is an application for the Uninsured Care Programs in New York.
Q: Who can use form DOH-2794?
A: Uninsured individuals in New York can use form DOH-2794 to apply for the Uninsured Care Programs.
Q: What are the Uninsured Care Programs in New York?
A: The Uninsured Care Programs offer healthcare coverage for individuals in New York who do not have health insurance.
Q: Is form DOH-2794 available in Russian?
A: Yes, form DOH-2794 is available in Russian.
Form Details:
Download a printable version of Form DOH-2794 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.