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:
None
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.
If you have questions, contact the eDocs Helpdesk.
In order to view PDF forms on eDocs, download the latest FREE version of Adobe Reader.
|