Skip to main content

Dokiman ak fòmilè pou manm yo

Isit la, ou pral jwenn tout enfòmasyon ak fòmilè w ap bezwen yo pou w kapab pwofite de avantaj plan w lan.

Materyèl manb yo

Fòmilèyo

Health care proxy — English (PDF)

Health care proxy — Spanish (PDF)

Health care proxy — Chinese (PDF)

Health care proxy — Russian (PDF)

Health care proxy — Haitian Creole (PDF)

Authorization to Release Protected Health Information (PDF)

Authorization to Release Protected Health Information — Spanish (PDF)

Authorization to Release Protected Health Information — Haitian Creole (PDF)

Authorization to Release Protected Health Information — Chinese (PDF)

Authorization to Release Protected Health Information — Russian (PDF)

Authorization to Release Protected Health Information — Hindi (PDF)