New Hampshire Department of Health and Human Services Forms

This form is used to reverse a previous decision of not participating in the NH Immunization/Vaccination Registry in the state of New Hampshire.

This document is for patients in New Hampshire who are applying for the Therapeutic Cannabis Program. It outlines the application process for obtaining medical cannabis.

This form is used for reporting on the Low-Level Radioactive Waste Management Fund in New Hampshire on a quarterly basis.

This Form is used for ordering clinical materials through the BCCP program in the state of New Hampshire.

This form is used for certifying continued absence in New Hampshire. It is available in Spanish.

This Form is used for referring children and adolescents to Hampstead Hospital in New Hampshire.

This form is used for reporting attestation in the state of New Hampshire.

This Form is used for requesting approval from the state of New Hampshire for conducting activities outside of the state.

This form is used for requesting an exemption for "only willing and qualified provider (OWQP) requests" from the New Hampshire Bureau of Developmental Services.

This document provides a task list for new nutritionists working with the Women, Infants, and Children program in New Hampshire. It outlines the specific duties and responsibilities of the position.

This Form is used for applying to the Health Insurance Premium Payment (HIPP) Program in the state of New Hampshire. The program helps eligible individuals and families pay for their health insurance premiums.

This Form is used for obtaining local approval for health facilities administration in New Hampshire.

This document is used for applying for a residential, health care license, or special health care services in the state of New Hampshire.

This form is used for parents in New Hampshire to apply for a religious exemption from required immunizations for their child in childcare or school settings.

This form is used for reporting issues related to the redemption of cards and benefits in the state of New Hampshire.

This form is used for authorizing new contract services within the state of New Hampshire. It streamlines the process of commencing work by contractors and service providers as per given agreement.

This document recognizes child care facilities in New Hampshire that promote and support breastfeeding.