This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.
The document is provided in Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form WTC-HIPAA?
A: The Form WTC-HIPAA is a document specific to New York that authorizes the use and disclosure of protected health information related to World Trade Center volunteers under the Health Insurance Portability and Accountability Act (HIPAA).
Q: Who needs to complete the Form WTC-HIPAA?
A: World Trade Center volunteers in New York need to complete the Form WTC-HIPAA.
Q: What does the Form WTC-HIPAA authorize?
A: The Form WTC-HIPAA authorizes the use and disclosure of protected health information related to World Trade Center volunteers for purposes related to their healthcare.
Q: Is the Form WTC-HIPAA specific to a certain language?
A: Yes, the Form WTC-HIPAA mentioned here is specific to Italian.
Q: Is the Form WTC-HIPAA specific to a certain state?
A: Yes, the Form WTC-HIPAA mentioned here is specific to New York.
Q: What law does the Form WTC-HIPAA reference?
A: The Form WTC-HIPAA references the Health Insurance Portability and Accountability Act (HIPAA).
Form Details:
Download a fillable version of Form WTC-HIPAA by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.