The forms on this page require Adobe Acrobat Reader Software to view or print them. If you do not have Adobe loaded on your computer, you can download a free version of Adobe Reader at www.adobe.com/products/acrobat/readstep2.html
Health Facility Cash Receipts Assessment:
DOH-4412 Electronic Filing User ID Application
Wire Transfer Information
Password Management User Documentation
DOH-4412 Electronic Filing User ID Application
Wire Transfer Information
Password Management User Documentation