DELAYS IN FUNDING OF DURABLE MEDICAL EQUIPMENT FOR PEOPLE WITH SEVERE DISABILITIES

REPLY FORM - PLEASE RESPOND BY WEDNESDAY, JULY 13, 2005

Mail to: Assembly Oversight, Analysis and Investigation Committee,
Agency Bldg. 4, 12th Floor, Albany, NY, 12248
Or fax to: 518-455-4175


box I plan to testify at the July 19 hearing on DOH delays in funding of durable medical equipment for people with severe disabilities.

box I plan to attend, but not testify, at the July 19 hearing on DOH delays in funding of durable medical equipment for people with severe disabilities.

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


Name:

Title:

Organization (if any):

Address:

City/State/Zip code:

Telephone number:

Fax number:

E-mail address:
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