Requests for applications/forms in an alternate format can be made by sending an e–mail note to dohweb@health.ny.gov.
- Records 1 5 8 – Innovative Personal Database Pdf Software
- Records 1 5 8 – Innovative Personal Database Pdf Download
- Records 1 5 8 – Innovative Personal Database Pdf File
- Records 1 5 8 – Innovative Personal Database Pdf Software
Adoption
AIDS Institute
- 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)
Apache OpenOffice 4.1.8 released. Fl studio 12 4 for mac download. 10 November 2020: The Apache OpenOffice project announces the official release of version 4.1.8. Antivirus zap 3 1 0 – virus & adware download. In the Release Notes you can read about all new bugfixes, improvements and languages. Don't miss to download the new release and find out yourself. Patient database, linked database, medical case history database The returns in the manufacturing sector are immediate as compared to the service sector. FALSE The choice of technology makes a significant difference in the service quality to the customer. TRUE The computer hardware consists of Central processing unit., Primary and secondary. Department of Housing and Urban Development 451 7th Street S.W., Washington, DC 20410 Telephone: (202) 708-1112 TTY: (202) 708-1455. Principles of support † 1–5, page 1 Standards of service † 1–6, page 2 Section III Manpower, page 2 Manpower resources † 1–7, page 2 Operating tasks and functions † 1–8, page 2 Section IV Accountability and Strength Reporting Resources, page 3 Electronic Military Personnel Office † 1–9, page 3.
Americans with Disabilities Act
- Americans with Disabilities Act Complaint Form (PDF)
Asbestos
- Application for Asbestos Training Equivalency (DOH–4353) (PDF)
- Application for Approval or Revision of an Asbestos Safety Training Program (PDF)
Assisted Living
Authorized Representative Designation/Change Request
Birth, Death, Marriage, Divorce
Cardiac Surgery and PCI (Angioplasty)
Cash Receipts Assessment Program
Certificate of Need
Child and Adult Care Food Program
Children´s Camps
Communicable Disease
- Mosquito & Tick Materials Order Form (PDF)
- Prevent Herpes Transmission During Ritual Circumcision
- Ordering Brochures (PDF)
Controlled Substances / Narcotic Enforcement
Dental
Disposition of Remains
Do Not Resuscitate (DNR) Orders
- Nonhospital Order Not to Resuscitate (PDF)
Early Intervention
- Early Intervention Publications Order Form (PDF)
Emergency Medical Services (EMS)
Employment
Genealogy
Health and Safety Outdoors
Health Care Coverage
- Health Insurance Application (PDF) – Some applicants are required to apply for Medicare as a condition of eligibility for Medicaid. Please read OHIP–0112 below for more information on who is required to apply for Medicare and how to apply
- Health Insurance and Nutrition Application for Children, Adults, and Families (Medicaid, Child Health Plus, Family Health Plus and Family Planning Benefit Program) (PDF)
- Women, Infants and Children (WIC) Nutritional Program
- Forms for Health Care Providers
- Day Care Centers/Homes
- Certificate of Authority Form (PDF)
Health Care Proxy
Health Care Reform Act (HCRA)
Health Facilities Cash Assessment Program (HFCAP)
- User ID Application for Electronic Filing
Health Homes
- Health Home Statement and Certification (PDF
- Guidelines for MCOs (PDF)
Helen Hayes Hospital
- Employment Application Form (PDF)
- Volunteer Corps Application Form (PDF)
- TLC Learning Center Application/Wait List Form (PDF)
HIV/AIDS
- Opioid Overdose Prevention Program Registration (PDF)
Home Care Services Agencies
Hospital and Primary Care Services
Immunization
- Influenza Vaccine (DOH–4482) (PDF)
Infection Control
Lead Poisoning Prevention Education Materials
- Lead Poisoning Prevention Education Materials (PDF)
Managed Care
Medicaid
Medicaid Provider (NYS)
Medical Records
- Denial of Access to Patient Information and Appeal Form (PDF)
Minimum Data Set (MDS) – New York State Requirements
- MDS Audit Clarification Memorandum
- Section S
- Effective for assessments beginning 10/01/2019
- Form (PDF)
- Instructions (PDF)
- Effective for assessments in the period: 10/1/2017 – 9/30/18
- Form (PDF)
- Instructions (PDF)
- Effective for assessments in the period: 4/1/2011 – 9/30/17
- Form (PDF)
- Instructions (Updated 03/29/2011) (PDF)
- Effective for assessments beginning 10/01/2019
- Section Z: Assessment Administration (New York
- Instructions Effective 10/01/2010 (Updated 01/31/2011) (PDF)
- Other documentation
- Section S Crosswalk (by assessment dates) October, 2010 ´mapped´ to April, 2011 (Updated 05/12/2011) (PDF)
- NY Appendix A: MDS 3.0 NY–Specific Requirements – Effective 10/01/2010 (Updated 03/29/2011) (PDF)
- NY Appendix B: jRAVEN Configuration Instructions for NY – Effective 10/01/2010 (Updated 01/31/2011) (PDF)
- Dear Administrator Letter
- 11-02 - MDS 3.0 Requirements (Release Date – March 29, 2011) (PDF)
- 11–03 – MDS 3.0 Errata (Release Date – April 15, 2011) (PDF)
- ZIP of above files (in MS–Word/MS–Excel format; Updated 05/12/2011) (ZIP)
- CMS MDS 3.0 resources (scroll to the Download section of each page)
- Training materials – Includes the form and instructions
- Technical information – Includes technical specifications and errata
Mortality
- Infant Autopsy Protocol (PDF)
Narcotic Enforcement
Nursing Home Administrator (NYS)
Nursing Home Complaints
Nursing Home Nurse Aide (NYS)
Official Prescription Program
Records 1 5 8 – Innovative Personal Database Pdf Software
Organ and Tissue Donor Registry (NYS)
- New York State Donate Life Registry Enrollment Form (PDF)
- New York State Donate Life Registry Specification Form (PDF)
Patient Review Instrument
- Hospital and Community Patient Review Instrument (H/C–PRI) (PDF)
- Hospital and Community Patient Review Instrument Instructions (PDF)
Pesticides
Professional Licenses
Professional Medical Conduct and Physician Discipline
Public Water Supply and Protection
Publications Catalog, NYS Health Department
Rabies
- Rabies Materials Order Form (PDF)
Radiologic Science
Radon
SCREEN/PASRR
Records 1 5 8 – Innovative Personal Database Pdf Download
- PASRR Process Changes (Effective December 1, 2017)
- DAL 09–08 – Revised SCREEN Form Implementation (November 12, 2009)
- SCREEN Form DOH–695 (02/2009) (PDF)
- Instruction Manual for SCREEN Form DOH–695 (02/2009) (PDF)
- SCREEN/PASRR Frequently Asked Questions (FAQ) (Revised June 2013)
Statewide Planning and Research Cooperative System (SPARCS)
Records 1 5 8 – Innovative Personal Database Pdf File
Swimming Pools
- Swimming Pool & Bathing Beach Safety Plan Checklist (PDF)
- Written Notification for Supervision of Bathing Facilties at Temporary Residences & Campgrounds (PDF)
- Swimming Pool Plan Review Check Sheet (PDF)
Temporary Assistance
Tick Identification Service
- Tick Materials Order Form (PDF)
West Nile Virus
- West Nile Virus Materials Order Form (PDF)