 DHS-3727-ENG (PDF) Combined Annual Renewal For Certain Populations
DHS-4813A-ENG (PDF) Child and Teen Checkups 0 - 1 Month Well Visit
DHS-4813C-ENG (PDF) Child and Teen Checkups 4-Month Well Visit
DHS-4813D-ENG (PDF) Child and Teen Checkups 6-Month Well Visit
DHS-4813F-ENG (PDF) Child and Teen Checkups 12-Month Well Visit
DHS-4813G-ENG (PDF) Child and Teen Checkups 15-Month Well Visit
DHS-4813H-ENG (PDF) Child and Teen Checkups 18-Month Well Visit
DHS-4813I-ENG (PDF Child and Teen Checkups 24-Month Well Visit
DHS-4813J-ENG (PDF) Child and Teen Checkups 30-Month Well Visit
DHS-4813K-ENG (PDF) Child and Teen Checkups 3-year Well Visit
DHS-4813T-ENG (PDF) Child and Teen Checkups 12-Year Well Visit
DHS-4813U-ENG (PDF) Child and Teen Checkups 13 and 14-Year Well Visit
DHS-4813W-ENG (PDF) Child and Teen Checkups 16-Year Well Visit
DHS-4813X-ENG (PDF) Child and Teen Checkups 17-Year Well Visit
DHS-4813Y-ENG (PDF) Child and Teen Checkups 18-Year Well Visit
DHS-4813Z-ENG (PDF) Child and Teen Checkups 19 and 20-Year Well Visit
DHS-5274: Minnesota Child Care Assistance Program Redetermination Form
[ HMN | RUS | SOM | SPA | VIE ]
DHS-5785-ENG (PDF) Child Support: Income Withholding for Spousal Support
DHS-6643-ENG Equipment and Other Capital Expenditures Approval Form
DHS-6759H-ENG Moving Home Minnesota Communication Form
DHS-6762H-ENG (PDF) Minnesota Adult Protection Standardized Final Safety Assessment
DHS-6811-ENG (PDF) Child Care Provider Investigations Communication Form
DHS-7118D-ENG (PDF) Applicant Notarized Agreement, Acknowledgment and Verification Form
DHS-8062-ENG Setting Capacity Report for Integrated Community Supports
DHS-8691-ENG Checklist for 65th Birthday
DHS-5785A Income Withholding for Spousal Support - Additional Information for Employers and Other Income Withholders
DHS-5785B Income Withholding for Spousal Support - Notification of Termination of Employment
DHS-6125B State Medical Review Team Adult Continuing Disability Review Worksheet
DHS-6126 State Medical Review Team Children's Disability Worksheet
DHS-6126B State Medical Review Team Children's Continuing Disability Review Worksheet
DHS-6451 Non-Integrated Special Needs BasicCare (SNBC) Choice Form
DHS-6532 CDCS Community Support Plan
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