Use this form to request a copy of your medical records. In order for CCHHS to respond promptly and accurately to your.To request a copy of your medical records: Fill out the Medical Record Authorization Release form, click on the link below to download. The New York Health Care Proxy Law allows you to appoint someone you trust — for example, a family member or close friend – to make health care decisions. This policy applies to all persons applying for or intending to apply for entry permits to work in the Cook Islands for more than 31 days. I authorise any Cook Islands health service agency to provide information about my state of health to Immigration Cook Islands. Please be aware that forms will be displayed in a NEW browser window. Home page for the New York State Department of Health. Travel to New Zealand or transit Auckland International Airport without first applying for a visa. Visit up to 3 months, or 6 months for UK citizens.