How To LDSS-3955 Form PDF Writer Online?
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What is LDSS-3955 Form?
Temporary non-immigrants and undocumented immigrants applying for coverage for the treatment of emergency medical conditions must submit the LDSS-3955 (Upstate) “Certification of Treatment of Emergency Medical Condition,” completed and signed by a physician.23 Feb 2007
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- Open your PDF to start working on in an online editor.
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- Pick a tool from the menu bar and use it in the document.
- Insert images, add annotations, place checkmarks, erase or highlight text, and so on.
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- Place your signature and date.
- Click Done to finish the process.
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