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 purpose of Form C-3.3?
A: Form C-3.3 is used to request a limited release of health information under HIPAA in New York.
Q: Who uses Form C-3.3?
A: This form is used by individuals or organizations requesting a limited release of health information in New York.
Q: What is HIPAA?
A: HIPAA stands for Health Insurance Portability and Accountability Act. It is a federal law that protects the privacy and security of health information.
Q: What does a limited release of health information mean?
A: A limited release of health information means that only specific and designated information will be shared with the recipient.
Q: Why is this form available in Italian?
A: This form is available in Italian to meet the language needs of Italian-speaking individuals in New York.
Form Details:
Download a fillable version of Form C-3.3 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.