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Organization referenced in documents
EFTA01650943
he my questions about this form have been answered. In addition, I have been provided a copy by law Date: • Human mmun e macs was a causes AIDS. The New York State Public Health Law protects information which reasonably could identify someone as has log HIV symptoms or infection and information regarding a person's contacts. EF
EFTA01651057
r Office of Victim Services benefits. 13. Authority to sign on behalf of patient: has about this form have Date: iition, I have been provided a co The New York State Public Health Law protects information which rcasonanry count mentity someone as nas mg MIT symptoms or infection and information regarding a person's contacts. EFTA

Medicaid
OrganizationUnited States social health care program for families and individuals with limited resources
Victim Services
OrganizationFBI Victim Services
the State of New York
LocationState in the northeastern United States
the New York City Commission of Human Rights
OrganizationOrganization referenced in documents
HIPAA
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Social Security Benefits
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Complete Address
PersonPerson referenced in documents
New York State Law
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See the Court Ordered Restitution Information
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First Hospital
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the New York State Department of Health'
OrganizationOrganization referenced in documents
the Social Security Death Benefit
OrganizationOrganization referenced in documents
S. Swan
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OVictim Assistance Program
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Disability Insurance
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the Death Certificate
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Primary Insurance Company
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Governmental Agency Name
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