Nevada Department of Health and Human Services Forms

This form is used for obtaining permission from parents for student activities and field trips in Nevada schools.

This form is used for requesting immunization records in the state of Nevada.

This document is used for the Nevada Webiz View-Only User Confidentiality Agreement. It ensures the confidentiality of information accessed by view-only users of the Nevada Webiz system.

This form is used for applying for an HL7 Application in the state of Nevada.

This document is an agreement to participate in the Hospital Tdap and Ob/Gyn Cocooning Programs in Nevada. It outlines the terms and conditions for healthcare facilities and obstetricians/gynecologists to participate in programs aimed at protecting pregnant women and newborns from pertussis (whooping cough).

This form is used for requesting and reporting on vaccines in the Cocooning Program in Nevada.

This document is used for requesting meaningful use in the state of Nevada.

This Form is used for reporting confidential information about individuals with specific diseases or conditions in the state of Nevada. It is a crucial document for tracking and monitoring public health and ensuring the necessary measures are taken to prevent the spread of diseases.

This document contains a pre-test for the 'Biosense 2.0 Training Course' in Nevada. It is used to assess the knowledge of participants before the training begins.

This appendix contains the post-test for the "biosense 2.0 Training Course" in Nevada. It is used to assess the knowledge and understanding gained from the training.

This Form is used for submitting action requests in the state of Nevada. It is used to request specific actions or changes related to a particular matter.

This form is used for signing up for the Nevada Health Alert Network (NVHAN) in Nevada. The NVHAN is a system designed to provide important health alerts and updates to residents of Nevada.

This document is for enrolling in the Communicator Nxt program in Nevada.

This document is for registering a sponsoring entity under Nevada Revised Statutes (NRS) Chapter 629 in Nevada.

This Form is used for healthcare providers in Nevada to order life-sustaining treatment for patients.

This form is used for requesting limited recognition in the state of Nevada. It is a document that allows individuals to have their requests for recognition evaluated by the appropriate authorities in Nevada.

This form is used for filing a complaint related to the Emergency Medical Systems Program in Nevada.

This document is used to notify the authorities in Nevada about a change in information for EMS personnel.

This Form is used for applying for trauma designation in the state of Nevada.

This form is used for applying for an emergency medical services grant specifically for children in the state of Nevada.

This Form is used to apply for an emergency medical services training grant in Nevada. It allows organizations to request funding for EMS training programs.

This form is used for applying for certification in Emergency Medical Services in Nevada.

This Form is used for the late renewal of Emergency Medical Services in Nevada. It allows individuals or organizations to renew their EMS licenses after the designated renewal period has passed.

This application form is used to apply for an EMS Instructor Endorsement in the state of Nevada. It is required for individuals who wish to teach emergency medical services courses in the state.

This document is a report used to evaluate applicants who are applying to become provisional EMS instructors in the state of Nevada.

This form is used for requesting a provisional license to become an ambulance attendant in Nevada. It is required to provide EMS services.

This document is used for submitting an application to renew a permit in the state of Nevada.

This type of document is used for applying for an initial permit in the state of Nevada.

This form is used for disclosing ownership and control interests in Nevada.

This document is a checklist specifically for glucose testing in emergency medical services in the state of Nevada. It provides guidelines and requirements for conducting glucose testing procedures in emergency situations.

This form is used for inspecting non-transport units in Nevada as part of the EMS program.

This Form is used for inspecting aircraft units in Nevada as part of the EMS program.

This document is used for conducting inspections of ambulance units in Nevada as part of the EMS Program. It ensures compliance with regulations and standards for emergency medical services.

This form is used for applying to the Agency Driver-Only Program in Nevada.

This form is used for applying for a label review in the state of Nevada.

This document is for applying for an exemption from a food establishment permit in the state of Nevada.