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Get NY MCMS Initial Uniform Health Assessment Form 2015-2024

Eration or appointment as part of the credentialing and privileging process. It is assumed that the applicant’s examining practitioner will directly review the health information with the applicant. This Uniform Health Assessment Form, which conforms to New York State Title 10 Health Code 405.3(b)(10)(11), has been developed by the Monroe County Medical Society, in conjunction with hospitals and other health care facilities in the Finger Lakes region. Use of this form will enable the applicant.

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