Get the up-to-date nys 742 form 2024 now

Show details

4.8 out of 5

123 votes

For further information relating only to the Personal Privacy Protection Law call 518 457-2487. For information concerning this form please contact the Employee Health Service at 518 233-3100. AUTHORIZATION FOR RELEASE AND DISCLOSURE OF MEDICAL INFORMATION I authorize release or disclosure of the following medical records EHS Nurse records of Date s EHS Medical records of Personal Physician s records pertinent to Medical Condition Other THESE RECORDS WILL BE USED FOR My Personal Use By EHS to D ...

Here's how it works

01. Edit your processing dmv online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to edit Nys 742 form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your paperwork takes only a few simple clicks. Follow these quick steps to edit the PDF Nys 742 form online free of charge:

Register and log in to your account. Sign in to the editor with your credentials or click on Create free account to examine the tool’s features.
Add the Nys 742 form for editing. Click on the New Document option above, then drag and drop the file to the upload area, import it from the cloud, or using a link.
Adjust your template. Make any adjustments required: add text and photos to your Nys 742 form, highlight important details, erase sections of content and substitute them with new ones, and add icons, checkmarks, and fields for filling out.
Finish redacting the template. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super easy to use and efficient. Give it a try now!