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DHS-2146-ENG Authorization for Release of Employment Information
DHS-2981-ENG Medical Assistance Parental Fee Form
DHS-2981-SPA Medical Assistance Parental Fee Form
DHS-3418 - Minnesota Health Care Programs Renewal (HMN, RUS, SOM, SPA, VIE)
DHS-3730A-ENG Uniform Service Standards Personnel Record
DHS-4022-ENG Personal Care Provider Organization or Personal Care Assistant Choice Provider Enrollment Application
DHS-4145-ENG County Notice of IMD Status
DHS-4461A-ENG Nursing Facility (NF) Liability Summary
DHS-4719-ENG Guidelines for Developing Policies and Procedures for Licensed Child Care Center
DHS-4797B - Behavioral Health Home (BHH) Services Rights, Responsibilities and Consent (HMN, RUS, SOM, SPA, VIE)
DHS-5223F-ENG Supplemental Nutrition Assistance Program (SNAP) Application for Seniors (Individuals and couples age 60 and older) (HMN, RUS, SOM, SPA, VIE)
DHS-5360-ENG Children's Mental Health Children's Intensive Behavioral Health Services: Certification Application
DHS-5360C-ENG Children's Mental Health Children's Intensive Behavioral Health Services: Notification of Change
DHS-5820-ENG Disability Waiver Rates System Exception Reques
DHS-6000-ENG Designation of Billing Person for Personal Care Assistance (PCA)
DHS-6021-ENG Request to Close or Develop New Corporate Foster Care (and Community Residential Settings)
DHS-6200-ENG MFIP/DWP Self-Employment Business Plan
DHS-6759H-ENG Moving Home Minnesota Communication Form
DHS-7118-ENG Universal Licensing Application
DHS-7683-ENG Accreditation Fee Reimbursement Request
DHS-7786-ENG Request for Fire Inspection or Reinspection
DHS-7948-ENG Housing Stabilization Services Eligibility Request
DHS-7999-ENG Staffing Patterns for Licensed Child Care Centers
DHS-8262 - Minnesota Health Care Programs Renewal for Families, Children and Adults (HMN, RUS, SOM, SPA, VIE)
DHS-8372-ENG Correction Order
DHS-8373-ENG Child Care Center Medication Authorization
DHS-8414-ENG Field Trip Authorization for Licensed Child Care Centers
DHS-8445-ENG MHCP Asset Information
DHS-8448-ENG AMHI/CSP Budget Revision Request
DHS-8450-ENG Guardian/Conservator Maltreatment and Licensing Agency Checks
Form(s) made obsolete:
None
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