The purpose of this General Information System (GIS) message is to release the new statewide form DOH-4471, "Certification of Treatment of an Emergency Medical Condition". The new form DOH-4471 replaces upstate form LDSS-3955 and New York City Medical Assistance Program (MAP) form MAP-2151. A copy of the DOH-4471 form is attached to this GIS and is available on line at:
http:health.state.nyenet/revldssforms.htm.
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