FHC_heia_data_tables_Consolidated_upd 7.8.xlsx
Identifier (i.e., Patient A, Employee B, Respondent 1) or Name (only if requested by stakeholder) Organization ...
fillable-cpe-word-doc-application-revised-8-2023.pdf
Application & Instructions for CPE Please respond to each of the following items. Your typed responses ...
fillable-practicum-application.pdf
1 Hassenfeld Children’s Hospital at NYU Langone Child Life Practicum Application Today’s Date: __________________________ ...
Financial Assistance Application
NYU Langone Hospitals Financial Assistance Application Enclosed PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE: ...
financial-assistance-brochure-2023-nyulh-suffolk-CHINESETRADITIONAL.pdf
財務援助摘要 我要付多少錢? 折扣取決於上述收入審查結果。如果您的收 入是聯邦貧困線 (FPL) 的 600% 或以下， 並且符合所有其他資格條件，則支付金額可 低至 $0。 一旦您的申請得到處理，我們的財務顧問就 ...
financial-assistance-summary-6-2016.pdf
NYU Hospitals Center Financial Assistance Summary La solicitud y el resumen de asistencia financiera ...
form-patient-request-for-an-accounting-of-disclosures-aug-19.pdf
Page 1 of 1 (08/19) Patient Request for an Accounting of Disclosures The Health Insurance Portability ...
form-patient-request-for-confidential-communications-of-phi-aug-19.pdf
Page 1 of 1 (08/19) Patient Request for Confidential Communications of Protected Health Information The ...
form-patient-request-to-inspect-phi-aug-19.pdf
Page 1 of 1 (08/19) Patient Request to Inspect Protected Health Information Federal and state law provide ...
form-patient-request-to-restrict-disclosures-of-phi-to-an-insurer-aug-19.pdf
Page 1 of 1 (08/19) Patient Request to Restrict Disclosures of Protected Health Information to an Insurer ...