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Please note that the following forms may have new web addresses. Web pages or other documents that link to these forms may need to be updated.
 DHS-1958-ENG Full Child Support (IV-D) Services Application and Information on Child Support
DHS-2630-ENG Alternative Care Program Eligibility Worksheet for Unmarried Individuals or Married Couples When Both May Choose the Alternative Care Program or a Married Person Whose Spouse Is an EW Recipient or Is Living in a Nursing Facility
DHS-2630A-ENG Alternative Care Program Eligibility Worksheet for a Married Person who has a Community Spouse
DHS-2669A-ENG Critical Access Dental Private Practice Designation Request
DHS-2925-ENG Long Term Care Consultation Community Support
DHS-3642-ENG Emergency Medical Assistance - Care Plan Certification Request
DHS-4773-ENG Minnesota Family Planning Program (MFPP) Application Packet
DHS-6124-ENG SMRT Authorization to Release Protected Health Information
DHS-6189L-ENG Housing Access Coordination Providers Applicant Assurance Statement
DHS-6451-ENG Special Needs BasicCare (SNBC) Choice Form
DHS-6801-ENG White Earth Nation Human Services Transfer Verification Form
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