This is a legal form that was released by the New York State Division of Criminal Justice Services - a government authority operating within New York.
The document is provided in Bengali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of the Patient Consent Form?
A: The form is used to collect evidence and obtain consent for release or storage in cases of drug-facilitated sexual assault.
Q: Who needs to sign the Patient Consent Form?
A: The patient/victim and a healthcare provider should sign the form.
Q: What kind of assault is this form specifically for?
A: This form is specifically for cases of drug-facilitated sexual assault.
Q: In which state is this form applicable?
A: This form is applicable in the state of New York.
Q: What language is this form available in?
A: This form is available in Bengali.
Form Details:
Download a printable version of Part B by clicking the link below or browse more documents and templates provided by the New York State Division of Criminal Justice Services.