Doh 4235-2025

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The document is a notification form from the New York State Department of Health's Office of Health Systems Management, used for requesting waivers or equivalencies related to regulatory standards for facilities. It outlines the necessary identifying information, types of waivers, and requirements for submission, emphasizing that incomplete requests will not be accepted. The form also includes sections for operators or administrators to explain the necessity of the waiver and provide supporting documentation.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (43 Votes)
2003	4.4 Satisfied (265 Votes)

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