Parent or legal guardian consent for body piercing of a person under 18 years of age new york state department of health bureau of community environmental health and food protection health risk awareness it is important to be aware of the...
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Appendix 3a nysdoh model voluntary sars quarantine agreement i have been informed that i have been determined to be a contact of a suspect or probable case of sars, a communicable disease dangerous to the public health, and that unless precautions...
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New york state department of health supplemental form bureau of emergency medical services continuing education recertification program print neatly in upper case letters - please complete all information incomplete forms will be denied and...
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New york state department of health free lead poisoning prevention educational materials instructions: please fill in the form with your mailing information and circle quantities next to each item. preview or download publications at...
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Order form nys department of health lead poisoning prevention educational materials complete and mail or fax form to: nys department of health distribution center 21 simmons lane menands, ny 12204 fax: (518) 465-0432 note: orders can not be placed...
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Request for applications new york state department of health center for community health division of family health bureau of womens healthinitiative to increase awareness of the availability of emergency contraception (ec) in new york state rfa...
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Water system operation report new york state department of health bureau of water supply protection for systems that treat with chlorine and/or ultraviolet radiation public water system id: ny public water system name: county: town, village or
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New york state department of health division of long term care internal use only tracking number: date received: assisted living program (alp) 6 opportunity for development (ofd) important: please read the alp 6 opportunity for development form...
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New york state department of health collection and submission of specimens for viral encephalitis testingthe diagnostic facilities of the wadsworth center are designed primarily to provide laboratory services for persons in the state for whom such...
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New york state department of health bureau of immunization health commerce system (hcs) account guide frequently asked questions (schools) if i am having difficulty activating my hcs account (formerly known as an hpn account) or need a new...
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No. new york state department of health bureau of emergency medical services policy statement supersedes/updates: 07-02 09 - 09 date: august 5, 2009 re: for prehospital ems services page 1 of 3 this policy updates policy statement 07-02 regarding...
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Attachment 2 minimum data set, version 3.0 (mds 3.0) section s new york statespecific items (effective 1010112010) item-by-item instructions s0520. specialty unitlfacility reimbursement: intent: to identify a resident residing in a discrete...
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Water system operation report new york state department of health bureau of water supply protection for use by public water systems that treat with chlorine and/or fluoride public water system name source water type(s) reporting month/year date...
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Audit report exemption form new york state department of health audit unit instructions: complete and submit to address below. agency agency name fein(s) (include all related feins) contact name title signature date telephone fiscal year end date...
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No. 98-11 date 9/01/98 new york state department of health bureau of emergency medical services policy statement supercedes /updates: re: ems service incident reporting requirements page 1 of 2 purpose the purpose of this policy statement is to...
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