3701
This Form is used for recording Celsius temperature logs for freezers in North Dakota.
This document authorizes pharmacies in North Dakota to administer immunizations.
This document aids in assessing the potential risks associated with international travel specifically for residents of North Dakota.
This form is used for reporting the prenatal status of a mother who is positive for HbsAg (Hepatitis B surface antigen) in the state of North Dakota.
This form is used for reporting cases of Perinatal Hepatitis B in hospitals in North Dakota. It helps collect data on the condition, ensuring effective monitoring and prevention efforts.
This form is used for the Perinatal Hepatitis B Prevention Checklist in North Dakota. It helps healthcare providers ensure that pregnant women are properly screened and vaccinated to prevent the transmission of hepatitis B to their newborns.
This form is used for applying for a license as an Environmental Health Practitioner in North Dakota.
This document is for reporting agreements for food employees in North Dakota. It outlines the responsibilities and obligations of both the employer and the employee regarding reporting of any illnesses or symptoms related to food handling.
This form is used for submitting a HACCP (Hazard Analysis and Critical Control Points) plan review in North Dakota.
This Form is used for renewing the license of an Environmental Health Practitioner in North Dakota.
This form is used for filing complaints related to health facility programs in North Dakota.
This form is used for renewing the license of a Certified Professional in Food Safety in North Dakota.
This document is used for recording the results of smoke detector testing in North Dakota.
This document is used for transferring a patient from a swing bed to a hospital in North Dakota.
This document is used for informing patients in North Dakota about the transfer or discharge from a swing bed facility due to nonpayment.
This document is used to notify the transfer or discharge of an individual in a healthcare facility in North Dakota. It is important for ensuring proper documentation and communication of such changes.
This form is used for notifying the transfer of a patient to another hospital for hospitalization in the state of North Dakota.
This Form is used for applying for approval for a Nurse Aide Training Program in North Dakota.
This form is used for requesting a waiver of a licensing rule or construction standard in North Dakota. It allows individuals or businesses to seek an exemption from certain requirements.
This Form is used for collecting demographic information from women in North Dakota. It is available in Spanish.
This document is a review of the plan of correction for the Life Safety Code in North Dakota. It ensures that necessary safety measures are in place for buildings and facilities.
This form is used for requesting Women's Way materials in North Dakota.