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NEW YORK STATE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES OASAS EXTERNAL USER ACCESS REQUEST PART A TO BE COMPLETED BY THE PERSON TO BE GIVEN ACCESS Please Print Clearly To Avoid Delays in Processing the Form. Accurate Logons are Dependent Upon the Clear Spelling of the User s Name. SYSTEM ACCOUNT ADDED Initials APPLICATION ACCESS GRANTED ADDITIONAL COMMENTS/INSTRUCTIONS IRM -15 Rev 11/14 REFER ANY QUESTIONS TO OASAS HELP DESK AT 518 485...
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The Access OASAS External Form is a document used to request external access to data and services related to the Office of Alcoholism and Substance Abuse Services (OASAS).
Organizations and individuals who wish to access OASAS data or services are required to file the Access OASAS External Form.
To fill out the Access OASAS External Form, one must provide personal and organizational details, specify the type of access needed, and include any relevant documentation required by OASAS.
The purpose of the Access OASAS External Form is to regulate and manage access to sensitive data related to substance abuse services, ensuring that only authorized individuals or organizations obtain such information.
The Access OASAS External Form must include the requester’s contact information, organization details, the reason for accessing the data, and any supporting documentation that verifies the need for access.
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