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DHS-4106C-ENG Health plan enrollment form for people 65 years old or older
DHS-4258B-ENG Minnesota Adoption and Foster Care Individual Fact Sheet
DHS-4296-ENG Opioid Treatment Program Central Registry, General Consent/Authorization for Release of Information
DHS-4719-ENG Guidelines for Developing Policies and Procedures - Licensed Child Care Centers
DHS-4719A-ENG Guidelines for Developing Policies and Procedures for Certified Centers
DHS-5538-SPA Home Trial Log for Stander
DHS-5576 – Combined Six-Month Report – Supplement for Cash Programs (HMN | RUS | SOM | SPA | VIE)
DHS-5849-ENG Program HH: Nutritional Supplemental Authorization Request
DHS-6189Y-ENG Waiver Transportation Provider Assurance Statement
DHS-7109-ENG EIDBI Individual Treatment Plan (ITP) and Progress Monitoring
DHS-7118-ENG Universal Licensing Application
DHS-7181-ENG Adult Rehabilitative Rehabilitative Services Provider Application
DHS-7181B-ENG Adult Rehabilitative Mental Health Services (ARMHS) Recertification Application
DHS-7181C-ENG Mental Health Adult Rehabilitative Mental Health Services (ARMHS) Branch Office Location Application
DHS-7645A– EIDBI Benefit: Your rights and responsibilities (CMN | HMN | KAR | ORM | RUS | SOM | SPA | VIE)
DHS-7995-ENG Individual Child Care Program Pla
DHS-8262-SPA Minnesota Health Care Programs Renewal for Families, Children and Adults
DHS-8445-ENG MHCP Asset Information
DHS-8450-ENG Guardian-Conservator Maltreatment and Licensing Agency Checks
DHS-8462-ENG State Medical Review Team (SMRT) Document Portal
DHS-8493-ENG SNAP Employment and Training (E&T) Information and Screening and Referral Questions
Form(s) made obsolete:
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