Social Services Poughkeepsie Ny Health Insurance Form

Pdf 318kb albany county albany county dss 162 washington avenue albany new york 12210 518 447 7492 allegany county allegany county dss 7 court st belmont new york 14813 1077 585 268 9622 broome county broome county dss 36 42 main street binghamton new york 13905 3199 607 778 8850.

Social services poughkeepsie ny health insurance form. Local departments of social services. Pdf version of this page also available. Behavioral community health dbch permit to sell or distribute tobacco products behavioral community health dbch plans for a wastewater disposal system application for approval of hd 1 pdf behavioral community health dbch precious metal license renewal change for information and service of process forms pdf. What you should know if you have an emergency ldss 4148c pdf.

See reviews photos directions phone numbers and more for the best social service organizations in poughkeepsie ny. What you should know about your rights and responsibilities ldss 4148a pdf book 2. A government agency administering programs for social security medicaid disability or other services a pharmaceutical company or contract research organization cro seeking study participants in the latest clinical trial the ima group provides a single source for depth and breadth of high quality evaluations and clinical research services. Please contact new york state of health at 1 855 355 5777 with any questions.

Doh 4441 medicaid presumptive eligibility pe for children screening form pdf 59kb 2pg doh 5244 medicaid presumptive eligibility for pregnant women screening checklist pdf 79kb 2pg ldss 3113 acknowledgement of hysterectomy information pdf 42kb 1pg. Local districts social service forms. The department of behavioral community health offers a wide array of services to protect promote and improve the physical mental and social well being of our community. For medicaid not received with temporary assistance all active medicaid cases with coverage end dates in 3 1 20 10 31 20 will be extended 12 months.

Depending on your family s income your child may be eligible to join either child health plus a formerly children s medicaid or child health plus b. What you should know about social services programs ldss 4148b pdf book 3.