Health Care in New York State Prisons
PUBLIC HEARING REPLY FORM - RESPOND BY WEDNESDAY, MARCH 10



Mail to:

Assembly Member Richard N. Gottfried, 822 LOB, Albany, NY 12248
Or fax to: 518-455-5939


box I plan to testify at the hearing on health care in New York State Prisons. Testimony is by invitation only.

box I plan to attend, but not testify at, the hearing.

box

I will require assistance and/or handicapped accessibility information. Please specify type of assistance required:






NAME:

TITLE:

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