Managed Care Critical Incident Forms

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Managed Care Critical Incident Forms

Electronic Form -- Fill out and submit online. This form is available in English only. To print the form for distribution to others, simply access it, then use the print button on your browser. Faxing the form to the NASW Chapter Office is not recommended due to shading contained within the form.

To obtain paper copies, please telephone the NASW Chapter Office at (212) 668-0050. Paper copies are bilingual, being written in English and Spanish.

We would like to hear from you personally. Email us at naswnyc@naswnyc.org. We may also be reached by:

Telephone: (212) 668-0050.
Facsimile: (212) 668-0305.
Postal mail: NASW New York City Chapter, 50 Broadway, 10th Fl.,
New York, NY 10004.