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  1. Forms and Applications. Online forms are available from various sections of the Division of Health Service Regulation. Acute and Home Care Licensure and Certification Section. Adult Care Licensure Section. Complaint Intake and Health Care Personnel Investigations Section. Construction Section.

  2. 28 Ιαν 2016 · How to Fill out the Admission Applications. How_to_Fill_out_the_Admission_Applications.pdf. PDF • 7.37 KB - January 28, 2016. Contact Information. NC Department of Health and Human Services. 2001 Mail Service Center. Raleigh, NC 27699-2000. Customer Service Center: 1-800-662-7030. Visit RelayNC for information about TTY services.

  3. View or print a pdf of the Medical Assistance application.

  4. medicaid.ncdhhs.gov › providers › formsForms - NC Medicaid

    Medicaid forms required by the North Carolina Departments of Social Services Dental and Orthodontic Dental/orthodontic services, including prior approval, treatment extension, treatment termination and post-treatment summaries

  5. form: pdf: DHHS-AS-0009 Written Report of APS Evaluation HW 3.2024: Form: docx: 35 KB: Open ... Foster Home Relicense, Termination and Change Request Application: Form: pdf: 182 KB: Open Preview. form: pdf: DSS-5158: Foster Home Transfer Request Application: ... form: pdf: DSS-6226: NC Division of Vocational Rehabilitation Services and County ...

  6. 11 Μαΐ 2023 · Skip navigation. NC Division of Health Service Regulation Office of Emergency Medical Services

  7. ncchildcare.ncdhhs.gov › Documents › County-Documents-and-FormsCounty Documents and Forms - NCDHHS

    DocumentsCounty Documents and Forms. County Documents and Forms. Child's Application for Enrollment. Discipline and Behavior Management Policy - Sample 2. Medical-Child. Emergency Information and Health Questionnaire. Medical Action Plan - General. Orientation Documentation. Staff Medical Report.

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