Get NY HP4594 2008
______________________________________________________________________ Temporary ?: _______ I am an MD licensed to practice in New York State, and in my professional opinion, I believe the applicant’s mobility impairing condition does warrant a handicapped Parking Permit, according to the above New York State definition of “SEVERELY DISABLED.” Yes________ No_________ Date: ___________________ SIGNATURE OF PHYSICIAN (No stamps accepted)(MD/DO/DPM/NP) For Office Use Only Permit No. ________.
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