Nevada Department of Health and Human Services Forms

This form is used for applying for Medicaid in Nevada if you have aged out of another Medicaid program.

This document is a survey conducted by the New York Times to gather information about the opinions and preferences of residents in Nevada.

This document is for following up with the population in Nevada and obtaining their consent regarding a specific matter.

This document is a checklist for obtaining or renewing a medical license for handling radioactive materials in Nevada. It outlines the required steps and documentation needed for the process.

This document is for applying for a waiver to be exempt from having a license for applied behavior analysis in Nevada.

This form is used for medical and physical diagnosis for individuals applying for the Personal Assistance Services (PAS) Program in Nevada.

This Form is used for requesting prior authorization for the medication Tymlos (Abaloparatide) in Nevada.

This form is used for requesting prior authorization for Doxepin Cream in the state of Nevada. It is necessary to complete this form in order to obtain coverage for this medication.

This form is used for requesting prior authorization for the medication Zeposia (Ozanimod) in Nevada.

This Form is used for requesting prior authorization for the medication Orilissa (Elagolix) in the state of Nevada.

This form is used for requesting prior authorization for Oriahnn (Elagolix, Estradiol, and Norethindrone) medication in Nevada.

This form is used for submitting a prior authorization request for Evenity (Romosozumab-Aqqg) in the state of Nevada.

This form is used for requesting self-directed skilled services in Nevada.

This form is used for requesting self-directed skilled services in Nevada. It provides instructions on how to fill out the Form PAS-ISO Request for Self-directed Skilled Services.

This Form is used for home health agencies in Nevada to provide instructions for applying for intermittent services.

This document provides information on the enrollment process for providers who want to join the Nevada Medicaid program. It includes a list of associated providers in Nevada.

This form is used for requesting an interpreter in Nevada.

This document is a request for approval of an EMS course in Nevada. It is used to seek authorization for a specific emergency medical services course to be offered in the state of Nevada.

This document for applying for the Arp Fvpsa program in Nevada.

This document is for individuals in Nevada who hold a license or limited license to practice outside their scope of practice. It is used for registration purposes.

This document is a registration form for individuals who hold a license to engage in computed tomography in Nevada. It is used for the purpose of qualifying for certification.

This type of document, called an Affidavit, is required in the state of Nevada according to NRS 440.650 and NAC 440.070. It is a written statement made under oath that is used as evidence in court proceedings or other legal matters.

This document is for obtaining a medical exemption for immunization for students in preschool through 12th grade in Nevada.