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DHS-2775-ENG Notice of Overpayment
DHS-2776D-ENG Computation of Refugee Cash Assistance (RCA) Overpayment Worksheet
DHS-3502-ENG Consent of Parent to Adoption - Waiver of Notice of Adoption Hearing
DHS-3785-ENG DHS Drug Formulary Committee - Acknowledgment of Review of Ethical Practices and Conflict of Interest Policies
DHS-4258D-ENG Minnesota Adoption and Child Foster Care Home Study Assessment
DHS-4258E-ENG Minnesota Adoption and Child Foster Care Home Study Assessment Update
DHS-4797-ENG Notification of Eligibility for Behavioral Health Home (BHH) Services
DHS-4797B-ENG Behavioral Health Home (BHH) Services Rights, Responsibilities and Consent
DHS-5006J-ENG 2017 Earned Income/Pay Period/Date Tracking Form
DHS-5204-ENG Alcohol and Drug Abuse Division Rule 25 Assessment
DHS-5212-ENG Immunomodulator Drug Authorization Form
DHS-6054-ENG Signed Personal Statement about Assets for Cash Programs
DHS-6633-ENG Exception to CDCS Budget Methodology
DHS-6791D-ENG Coordinated Services and Supports Plan Signature Sheet
DHS-6810D-ENG Request for the Authorization of the Emergency Use of Procedures
DHS-6887-ENG Interpreter Website Consent Form
DHS-7085-ENG Hepatitis C Drug Prior Authorization
DHS-7120A-ENG EIDBI Assurance Statement for Comprehensive Multi-Disciplinary Evaluation (CMDE) Providers
DHS-7120B-ENG Assurance Statement for EIDBI Provider Agencies
DHS-7120C-ENG EIDBI Assurance Statement for Qualified Supervising Professionals (QSP)
DHS-7120D-ENG EIDBI Assurance Statement for Level I Providers
DHS-7120E-ENG EIDBI Assurance Statement for Level II Providers
DHS-7120F-ENG EIDBI Assurance Statement for Level III Providers
DHS-7196-ENG CCAP Provider Registration Change Form
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