Department of Health

State of New York

Official Website: https://health.ny.gov

Forms & Documents

Browse all Department of Health government forms

41 - 60 of 136 forms

Form Title Topics
CIC Internship Completion Report
CIC Internship Tracking Form
CLI Internship Completion Report
CLI Internship Tracking Form
Controlled Substance Inventory Form
Controlled Substance Report for Emergency Medical Services Agencies
Controlled Substances Semi-Annual Report for EMS Agencies
Controlled Substances Substock Inventory
Controlled Substances Usage Verification
Corporate Pharmacy Enrollment Form
Course Assistant Medical Director Form
Course Memorandum
Course Sponsor Claim for Payment Voucher
Daily Report on Beach Operations
DCME Certification Renewal Cover Sheet - To be used for all levels of CME renewal
Didactic Presentation Audit Report
DOH-1881 Affirmation of Compliance
DOH-206 Application for EMS Operating Certificate
DOH-5127 BLSFR Agency Information Application/Update Form
DOH-5131 Funding Document For EMS Agencies

Contact Information & Office Locations

1 contact point

Headquarters

Address:
Corning Tower
Empire State Plaza
Albany, NY 12237

Emails:

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