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Uninsured Care Programs. Assignment of Benefits (PDF) Addendum to Home Care (PDF) Home Health Certification and Plan of Treatment (PDF) Nursing Assessment for Home Care (PDF) Home Care DME Prior Aproval Request AI-3615 (PDF) Required HIV Related Consent & Authorization Forms. Expanded Syringe Access Program (ESAP) Forms.
- Hiv/Aids Educational Materials Order Forms
Department of Health. The New York State Department of...
- FAQ
A1. Only persons who have completed the New York State...
- Applications for Entities
NEW YORK STATE DEPARTMENT OF HEALTH Asbestos Safety Training...
- Providers/Professionals
Revised Page 4 for Instruction Manual for SCREEN Form...
- Division of Managed Care Forms
Division of Managed Care Forms. Contact OMC for assistance...
- Emergency Pesticide Application Notification Exemption Reporting Form
This form was developed for use by applicators who make...
- Required HIV Related Consent & Authorization Forms
Authorization for Release of Health Information (Including...
- Novel Coronavirus
If you are within New York City, please refer to: COVID-19:...
- Hiv/Aids Educational Materials Order Forms
30 gru 2021 · Need to access your NY State of Health account online? Once you’ve created your NY.gov ID, follow this simple tutorial to sign in. Then you can complete your application, renew your coverage, or update your information.
1 lis 2020 · Log into your NY State of Health account at nystateofhealth.ny.gov. Meet with an enrollment assistor to receive assistance in uploading the documentation. Use NY State of Health’s new Mobile upload app through App Store® and Google Play™ to easily and securely submit documents right from your phone or tablet to NY State of Health.
1 lis 2018 · Log into your account on this page to view your account information and inbox messages. Please call the NY State of Health Customer Service Center at 1-855-355-5777 if you have any questions about logging into your account, updating your account information, your messages or other details regarding your account.
Permits, Licenses & Certifications issued by the New York State Department of Health or related agencies.
Log into your NY State of Health account at nystateofhealth.ny.gov. Meet with an enrollment assistor to receive assistance with updating your account. Call the NY State of Health Customer Service Center at 1-855-355-5777
Local Health Departments. Local health departments (LHD) are leading the community response to COVID-19. They provide vaccinations, boosters, testing, and guidance on quarantine and isolation. They can tell you how to best care for yourself and your family if you test positive for COVID-19.