3701
This form is used for applying for Medicaid under the Women's Way program in North Dakota. It is specifically designed for women who are seeking healthcare services related to breast or cervical cancer.
This form is used for documenting the completion of treatment in the state of North Dakota. It serves as an official record indicating that an individual has completed a specific course of treatment or therapy.
This document is a legal agreement used in North Dakota for the appointment of an Emergency Medical Services (EMS) Medical Director. It outlines the responsibilities, duties, and compensation for the medical director in the field of emergency medical services in North Dakota.
This document is an agreement form used by EMS squads in North Dakota to establish the roles and responsibilities of a squad leader.
This form is used for documenting patient care provided by EMS providers in North Dakota. It includes important information such as patient demographics, medical history, and treatment provided.
This Form is used for reporting continuing education for non-nationally registered Emergency Medical Responders, Ambulance First Aid Attendants, and Emergency Medical Technicians in North Dakota.
This Form is used for applying for a license from the Quick Response Unit in North Dakota.
This form is used for registering for emergency medical services (EMS) in North Dakota specifically for the Covid-19 pandemic.
This form is used for individuals or organizations in North Dakota to apply for a provider license related to Covid-19.
This Form is used for applying or renewing a provider license in North Dakota.
This form is used for EMS courses in North Dakota. It includes a roster of course participants and requires physician authorization.
This form is used for EMS registration in North Dakota. It is a document that must be completed by individuals or organizations seeking to provide emergency medical services in the state.
This form is used for requesting access to or copies of protected health information in North Dakota.
This document is a scoring sheet used to evaluate applications for the Recreation Leadership Grant in North Dakota. It helps determine the eligibility and suitability of grant applicants based on specific criteria.
This document is for applying for a grant for off-highway vehicle recreation in North Dakota.
This document is a scoring sheet used for evaluating outdoor recreation facilities grant applications in North Dakota.
This document is an application form for individuals interested in volunteering in North Dakota. It is used to gather information about the applicant's personal details, interests, and availability for volunteering.
This type of document is a food service contract specifically for the School Nutrition Program (SNP) in North Dakota. It outlines the terms and conditions for providing food services to schools in the state.
This document is used for recording the temperature readings for cooling systems in North Dakota. It helps track and monitor the performance of cooling equipment.
This document is a dishwasher temperature log specifically designed for dishwashers in North Dakota that use hot water sanitation. It helps ensure compliance with sanitation requirements by accurately recording the dishwasher's water temperature during operation.
This document is used to request a modification of school meals for a student with medical needs in North Dakota.
This document is a temperature record for freezers, refrigerators, and coolers in North Dakota. It tracks the temperatures to ensure that the food and beverages are stored at the correct temperature to maintain quality and safety.
This document is used for applying for open enrollment in North Dakota schools if you reside in South Dakota or North Dakota.
This form is used to determine the best school placement for foster children in North Dakota.
This document notifies individuals of their point of contact for child welfare issues in North Dakota. It provides important contact information and resources for those involved in child welfare matters.
This document outlines a transportation plan specifically designed for students in foster care in North Dakota. It provides guidelines and procedures to ensure these students have safe and reliable transportation to and from school.