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This form is used for tracking hospital staff who have passed the DHS Hospital Presumptive Eligibility Online Training Course in Minnesota.
This form is used for referring individuals in Minnesota for reassessment for PCA (Personal Care Assistance) services.
This form is used for authorizing the use of a medical bed in Minnesota.
This form is used for applying for a hardship waiver in Minnesota for HCN (Health Care Worker in a Critical Industry) workers.
This form is used for certifying and creating a plan of care for home health services in Minnesota.
This form is used for requesting technical changes in the home care program in Minnesota.
This form is used for submitting a technical change request for Personal Care Assistance (PCA) in Minnesota.
This form is used for Pca Time and Activity Documentation in Minnesota.
This form is used for conducting a review and providing criteria for limiting the quantity of Seroquel medication in Minnesota.
This Form is used for the assessment and management of persistent pain at clinics in Minnesota.
This form is used for obtaining authorization for the use of immunomodulator drugs in Minnesota.
This form is used for the Adult Day Treatment Contract Cover Sheet in Minnesota. It is used to provide information regarding the contract for adult day treatment services.
This form is used for applying to become an Adult Rehabilitative Health Services (ARMHS) provider in Minnesota.
This form is used for applying for a branch office location for Adult Rehabilitative Mental Health Services (ARMHS) in the state of Minnesota.
This form is used for recertification of Adult Rehabilitative Mental Health Services (ARMHS) in the state of Minnesota.
This form is used for authorizing adult mental health rehabilitative services in Minnesota.
This form is used for the certification requirements for providers of Adult Rehabilitative Mental Health Services (ARMHS) in Minnesota. It outlines the necessary qualifications and criteria that providers must meet to be certified.
This document is used in Minnesota for the recertification personnel record review for Adult Rehabilitative Mental Health Services (ARMHS).
This form is used for the recertification of recipients of Adult Rehabilitative Mental Health Services (ARMHS) in Minnesota.
This form is used for requesting a policy variance for Assertive Community Treatment (ACT) in the state of Minnesota.
This form is used for recording information in Minnesota. It is associated with the Department of Homeland Security (DHS) and is known as Form DHS-6249-ENG Locus Recording Form.
This Form is used for applying for re-certification of the Children's Therapeutic Services and Supports Community program in Minnesota.
This form is used for notifying the Department of Homeland Security of any changes in the state of Minnesota.
This form is used for adding additional information to the Children's Therapeutic Services and Supports program in Minnesota.
This document is used for assessing and creating service plans for teenage parents in the state of Minnesota. It helps in providing necessary support and resources to ensure the well-being of the adolescent parent and their child.
This form is used for entering into a voluntary foster care agreement for youth between the ages of 18 and 21 in Minnesota. It complies with the Minnesota Statutes, Chapter 260c.451.
This form is used for reporting the birth of a minor in Minnesota within 72 hours.
This form is used for private adoption agency staff in Minnesota to request membership on the Minnesota Adoption Email Listserv.
This form is used for the transfer of permanent legal and physical custody process checklist for children in county foster care in Minnesota.
This document is a checklist for the adoption process in Minnesota for children who are under the guardianship of the Commissioner. It provides guidance and ensures that all necessary steps are taken in the adoption process.
This form is used for revoking voluntary recognition of parentage in the state of Minnesota.
This form is used for revoking voluntary recognition of parentage in Minnesota for individuals belonging to the Hmong community.
This form is used for revoking voluntary recognition of parentage in Minnesota. It is specific to the Somali community.
This Form is used for revoking voluntary acknowledgment of paternity in Minnesota.
This form is used for revoking the non-parentage statement of a spouse in the state of Minnesota.
This Form is used for revoking a statement of non-parentage made by the spouse in Minnesota. It is specific to Somalis living in Minnesota.
Este formulario es utilizado para solicitar la revocación de la negación de paternidad por parte del esposo en el estado de Minnesota.