North Dakota Department of Health and Human Services Forms
Documents:
528
This document outlines the general requirements for placing residents in an unlicensed temporary shelter in North Dakota. It provides guidance on the necessary criteria for ensuring the safety and well-being of individuals residing in these shelters.
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This form is used for billing home and community-based care services provided to the elderly, disabled, and developmentally disabled individuals in North Dakota.
This form is used for requesting medications for the treatment of Latent TB Infection (LTBI) in the state of North Dakota.
This Form is used for requesting service authorization in North Dakota and specifying the service limits.
This form is used for applying for a Mobile Food Unit License in North Dakota.
This document is for establishing an agreement between a mobile food unit or temporary food service establishment and a commissary in North Dakota. It outlines the responsibilities and requirements for both parties.
This Form is used for requesting an Informal Dispute Resolution (IDR) in North Dakota.
This form is used for obtaining a license to operate a low-risk food establishment in North Dakota.
