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DHS-1503-ENG Physician Certification
DHS-3159-ENG Minnesota Voluntary Recognition of Parentage
DHS-3889-ENG Hospital Staff Who Passed DHS Hospital Presumptive Eligibility Online Training Course
DHS-4461-ENG Nursing Facility (NF) Communication Form
DHS-5190-ENG CCAP Licensed Provider Registration and Acknowledgment
DHS-5192-ENG CCAP Legal Nonlicensed Provider Registration and Acknowledgement
DHS-5193-ENG CCAP Authorization for Release of Background Study
DHS-5682A-ENG Employee Injury/Illness Notification Form
DHS-5682B-ENG Supervisor Injury/Illness Investigation Form
DHS-5815-ENG Alternative Care Program (AC) Application for Discretionary Services July 1-June 30 FY
DHS-5849-ENG Nutritional Supplemental Authorization Request - Program HH
DHS-6189X-ENG Customized Living Providers Applicant Assurance Statement
DHS-6321-ENG Human Services Performance Management System Claim for Extenuating Circumstances
DHS-6696-ENG MNsure Application for Health Coverage and Help Paying Costs
DHS-6741-ENG MNsure Application for Health Coverage
DHS-6801-ENG White Earth Nation Human Services Transfer Verification Form
DHS-6806-ENG Provider Assurance Statement for Telemedicine
DHS-7168-ENG Performance Management System Performance Improvement Plans
DHS-7169-ENG Performance Management System Performance Improvement Plans for Measures with Small Denominators
DHS-7181-ENG Adult Rehabilitative Mental Health Services (ARMHS) Provider Application
DHS-7181B-ENG Adult Rehabilitative Mental Health Services (ARMHS) Recertification Application
DHS-7195-ENG Licensed Family Child Care Provider Registration and Acknowledgment
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