State Land Office

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

Forms & Documents

Browse all State Land Office government forms

41 - 60 of 93 forms

Form Title Topics
Management Contract Guidelines for MCOs and IPAs Agricultural Leasing
Management Contract Statement and Certification Agricultural Leasing
Medical Documentation Form Agricultural Leasing
Medical Orders for Life-Sustaining Treatment (MOLST Agricultural Leasing
Medical Referral Form Agricultural Leasing
Medical Referral Form Agricultural Leasing
Merger-Acquisition Agricultural Leasing
Nonhospital Order Not To Resuscitate, Spanish Version (DNR Order Agricultural Leasing
Notice of Intent to Provide Public Access Defibrillation (PAD Agricultural Leasing
NYS MCO Certification Application - Medicare Only Agricultural Leasing
Opioid Overdose Prevention Program Registration Agricultural Leasing
Organizational Agreement Agricultural Leasing
PAD Collaborative Agreements Agricultural Leasing
Part 18 Public Function Event Report Agricultural Leasing
Part 18 Public Function Medical Incident Log Agricultural Leasing
Payor Change of Filing Status from Annual to Monthly Agricultural Leasing
Payor Election Application Agricultural Leasing
Payor Status Change Agricultural Leasing
Payor/TPA/ASO Change of Information Agricultural Leasing
Percolation Test Data Agricultural Leasing

Contact Information & Office Locations

1 contact point

Main Office

Address:
Corning Tower
Empire State Plaza
Albany, NY 12237

Phone numbers:
  • (866) 881-2809
Emails:
  • press@health.ny.gov
  • dohweb@health.ny.gov (general)

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