Nevada Department of Health and Human Services Forms

This document is a description of the volunteer long-term care ombudsman position in the state of Nevada. It provides details about the responsibilities and qualifications of this role to advocate for the rights and well-being of residents living in long-term care facilities.

This document is for applying to the CAS Mentorship Program in Nevada.

This document is for individuals in Nevada who are applying to become birth parents.

This document is used for applying for a relative visa in the state of Nevada. It outlines the eligibility requirements and the steps to be followed in order to secure a visa for a family member.

This document is for individuals who wish to apply to become an adoptee in the state of Nevada.

This document is used by birth parents in Nevada to request a copy of the adoption documents they signed.

This document is used for obtaining the consent of a birth parent in Nevada to release information from the Adoption Reunion Registry.

This form is used for obtaining consent to take photographs at the Caliente Youth Center in Nevada.

This document is used for authorizing correspondence for the Caliente Youth Center in Nevada.

This document is for obtaining consent for religious participation at the Caliente Youth Center in Nevada.

This document is used for conducting a debriefing session with a child who has been returned to their parent or guardian in the state of Nevada.

This document authorizes the release of confidential information by the Nevada Division of Child and Family Services.

This document is used for requesting the release of records in the state of Nevada.

This document assesses the progress of Nevada in terms of its statewide protective capacity. It evaluates the state's ability to protect its residents and communities from various threats and risks.

This form is used for requesting a change of pharmacy lock-in for recipients in Nevada.

This document is used to evaluate the usage of Form FA-1A in Nevada.

This form is used for inpatient rehabilitation in Nevada.

This Form is used for outpatient medical/surgical services in the state of Nevada.

This form is used for outpatient rehabilitation and therapy services in Nevada.

This form is used for the induction of labor prior to 39 weeks and scheduled elective C-sections in Nevada.

This Form is used for requesting Ocular Services or Medical Nutrition Therapy Services in the state of Nevada.

This form is used for reporting and documenting absences in the state of Nevada. It is specifically designed for RTC (Regional Transportation Commission) employees.

This form is used for assessing the level of care needed for nursing home facilities in Nevada.

This form is used for requesting a copy of Form FA-20 Pasrr and Loc in Nevada.

This form is used for requesting pediatric specialty care services in Nevada.

This Form is used for coordinating Hospice and Waiver or Personal Care Services (PCS) in the state of Nevada.

This form is used for determining the availability of a legally responsible individual (LRI) for the Personal Care Services Program in Nevada.