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  1. 28 Ιαν 2016 · 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. Follow Us.

  2. form pdf DSS-1464a: Statement of Assurance of Compliance with Title VI of the Civil Rights Act of 1964 for Other Agencies, Institutions, Organizations or Facilities

  3. 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.

  4. Welcome to ePASS. - ePASS is a way to apply for Benefits and services in North Carolina. - New applicants and existing beneficiaries can create an account. - An enhanced account lets you report changes and view case details online. For more information see below.

  5. Use the birth certificate forms below if you need to obtain a copy of a Birth Certificate with an Affidavit of Paternity already on file. Application for a Copy of a North Carolina Birth Certificate with Affidavit of Paternity.

  6. 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

  7. LICENSE APPLICATION PROCESS. An applicant is allowed six months from the date contact is made with applicant and a Licensure & Training team member to complete all requirements of application review to obtain a license.

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