New Mexico Department of Health Forms

This form is used for registering for Home and Community Based (HCBS) waivers in New Mexico.

This document is for individuals in New Mexico who wish to apply for a Personal Production License (PPL). It allows individuals to legally cultivate and possess medical cannabis for personal use.

This document is an application form for individuals or organizations who want to apply for a non-profit producer license to grow and distribute medical cannabis in New Mexico.

This form is used for requesting toxicology testing in cases of drug-facilitated sexual assault in New Mexico.

This document provides instructions for submitting a request for assistance to the Developmental Disabilities Supports Division (DDSD) Regional Office in New Mexico. It includes information on how to complete the request form and the process for submitting it.

This form is used for requesting priority case status in New Mexico. It allows individuals to request expedited processing for their case.

This document is used for requesting an exception to the Secondary Freedom of Choice (SFOC) Policy and Procedure in New Mexico. It provides a formal process for individuals to seek permission for a specific situation where they require an exception to the SFOC policy.

This form is used for employees in New Mexico to indicate whether they accept or decline Hepatitis B vaccination.

This Form is used for ordering adult vaccines in the state of New Mexico.

This Form is used to request asthma data specific to New Mexico. It gathers information related to asthma cases and can be used for research or public health purposes.

This form is used for returning adult vaccines in the state of New Mexico.

This document is used for assessing the immunization status of 7th-grade students in the state of New Mexico.

This document is used for assessing the immunization status of kindergarten students in New Mexico.

This type of document is used for registering for Syringe Services (SSP) and Overdose Prevention and Education (OPE) programs in New Mexico. These programs focus on preventing the spread of Hepatitis and promoting harm reduction practices.

This type of document is used for managing inventory and placing orders for Naloxone, a medication used to reverse opioid overdose.

This document provides a grid or support schedule for dedicated staff in New Mexico who provide care and assistance in supported living facilities.

This form is used for applying for approval of continuing education credits (CEUs) in the state of New Mexico.

This form is used for evaluating sterilization providers in the state of New Mexico. It is available in both English and Spanish.

This document is used for returning expired vaccines in the state of New Mexico.

This document is used for enrolling in the Naloxone program and keeping a record of its use in the state of New Mexico.

This form is used for conducting interviews with individuals seeking syringe services in New Mexico.

This form is used for enrolling in a syringe service program and keeping a daily log of syringe usage in New Mexico.

This document is a screening tool used in New Mexico to assess the risk of aspiration.

This type of document is used to keep track and manage competency-based training in the state of New Mexico. It helps organizations and employers maintain a record of employees' training and skills development.

This document is used for consultation and decision-making related to risk management in New Mexico.

This document is a tool used for collaborative assessment of nursing risks in New Mexico. It helps healthcare professionals identify and manage potential risks to patient safety in the nursing field.

This form is used for recording contact notes in Occupational Therapy practice in the state of New Mexico. It helps therapists document and track their interactions with patients, including assessments, treatments, and progress updates.

This form is used for referring clients to Sarl for aspiration risk management services in New Mexico.

This document is used to collect data related to eating, oral care, and oral-motor assessment for occupational therapy purposes in the state of New Mexico.

This document provides guidelines for conducting a Functional Vision Evaluation specifically for adults with intellectual or developmental disabilities in the state of New Mexico. It helps assess their visual abilities and create appropriate strategies for improving their functional vision.

This document is for creating a list of assistive technology devices in New Mexico. It helps keep track of available resources for individuals with disabilities.

This Form is used for monitoring and taking action on the monthly inventory of assistive technology providers in New Mexico.

This Form is used for amending the provider agreement for Ddw/Mfw/SW services in New Mexico.

This form is used for verifying funds related to environmental modification projects in New Mexico. It is a sample form that helps ensure proper financial documentation for such projects.

This document is used to record the designation of trainers for individual-specific training in the state of New Mexico.

This Form is used for demobilization checkout in New Mexico.