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To download a form, Click on the applicable link below.
Authorization for Disclosure of Health Information
Authorization for Disclosure of Health Information (Spanish)
Authorization for Duplication of Digital Images
Authorization for Duplication of Digital Images (Spanish)
Authorization for Release of Health Information (including alcohol-drug treatment and mental health information) and confidential HIV-AIDS Information (a NYS DOH required release form)
Authorization for Release of Health Information (including alcohol-drug treatment and mental health information) and confidential HIV-AIDS Information (a NYS DOH required release form) (Spanish)
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