Nevada Department of Health and Human Services Forms

This Form is used for gathering information on the potential impact of a proposed regulation regarding diapering accounts on small businesses in Nevada.

This type of document is a Small-Business Impact Questionnaire specifically related to the screening of infants for preventable disorders in the state of Nevada.

This Form is used for requesting prior authorization for the medication Entresto (Sacubitril-Valsartan) in Nevada. Prior authorization is required for this medication in order to ensure proper coverage and payment.

This form is used for requesting prior authorization for the Gimoti (Metoclopramide) Nasal Spray in the state of Nevada.

This Form is used for submitting a prior authorization request for Aduhelm (Aducanumab) medication in Nevada.

This Form is used for conducting background checks on individuals who have lived outside of Nevada. It is used to verify their personal and criminal history in other states.

This document is a handbook provided by the state of Nevada, which offers information and guidance to parents regarding early intervention services available for children with developmental delays or disabilities. It outlines the various programs, resources, and support services provided by the Nevada Early Intervention Services (NEIS).

This type of document is used for making changes to the managed care organization (MCO) for Nevada Medicaid and Nevada Check up. It is written in Spanish.

This Form is used for requesting a fair hearing in Nevada. It is available in both English and Spanish.

This form is used for requesting the sealing of records in Nevada's Central Registry.

This document is a questionnaire for individuals interested in volunteering for the Battle Born Medical Corps in Nevada. It collects relevant information about potential volunteers.

This form is used for obtaining a limited license for the Radiation Control Program in Nevada.

This document is used for registering radiation therapy or radiologic imaging facilities in Nevada prior to January 1, 2020. It is part of the Radiation Control Program.

This Form is used for registering the Radiation Control Program for Computed Tomography or Fluoroscopy in Nevada before January 1, 2020.

This document outlines the Epinephrine Standing Order Protocol in Nevada. It provides guidelines for the use of epinephrine, a medication used to treat severe allergic reactions.

This Form is used for conferences/audiencias in Nevada.

This Form is used for authorizing the disclosure of information in Nevada.

This Formulario is used for parents without custody in Nevada.

This Form is used for designating an authorized representative in Nevada.