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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. There are three ways to apply. Apply online with ePASS. You may need to create an account first. Want to learn more about the ePASS application process? Watch this helpful video for a step-by-step overview. Apply in person at your Department of Social Services (DSS) office.

  3. 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.

  4. The forms listed below are in PDF format. You will need a PDF reader, such as Adobe Acrobat Reader, to use them and save copies to your machine. Note that not all web browsers handle opening of PDF files in the same manner.

  5. 12 Αυγ 2024 · 04/24. HHS-990-1 (NTEU) HHS Workplace Flexibilities Agreement (NTEU Employees Only) 05/23. Public Health Service (PHS) N/A. Commissioned Corps of the U.S. Public Health Service – General Instructions for Completing Medical Examination Forms DD-2807-1 "Report of Medical History" and DD-2808 "Report of Medical Examination".

  6. application? • Use this application to apply for anyone in your family • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage. • If you’re single, you may be able to use a short form: www.ncdhhs.gov/dma/medicaid/applications.htm • Families that include immigrants can apply.

  7. 5 ημέρες πριν · Forms. This page contains links to North Carolina Environmental Health Section forms. To view or print the forms you may need to download Adobe Reader or an MS Office Viewer. Childhood Lead Poisoning Prevention Program - Updated 08/30/24.

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