Oklahoma Department of Human Services Forms

This form is used for requesting a salary exception in Oklahoma.

This document is a privacy notice acknowledgment form specific to Oklahoma. It is used to verify that an individual has received and understood the privacy policies of a particular organization or business.

This form is used for authorizing the disclosure of protected health information (PHI) in Oklahoma. HIPAA-3 and 08HI003E are alternative versions of the same form.

This form is used for requesting alternative means of communication in the state of Oklahoma in compliance with HIPAA regulations.

This Form is used for applying for temporary employment in the state of Oklahoma.

This Form is used for requesting an accounting of disclosures of protected health information (PHI) in the state of Oklahoma. It is related to the Health Insurance Portability and Accountability Act (HIPAA).

This form is used for conducting a reasonable suspicion checklist as part of employee drug testing in the state of Oklahoma. It helps employers determine whether there is reasonable suspicion to believe that an employee is under the influence of drugs or alcohol.

This document is a Spanish version of Form 13HI004S (HIPAA-4; 08HI004S) Disclosure Report Request used in Oklahoma. This form is used to request a report of disclosures of protected health information under HIPAA regulations.

This Form is used for authorizing the disclosure of medical records in Oklahoma under HIPAA-3 regulations.

This form is used for conducting an employment interview checklist for the position of Child Welfare Specialist in Oklahoma. It helps in assessing the candidate's qualifications and suitability for the job.

This form is used for requesting the amendment of protected health information in the state of Oklahoma.

This Form is used for requesting alternative communication methods in Oklahoma.

This Form is used for requesting amendments to protected health information in Oklahoma, in accordance with HIPAA regulations. (Spanish)

This Form is used for notifying the OAH Clerk in Oklahoma about an erroneous filing made. It is used to rectify any errors in the filed documents.

This form is used for notifying the court in Oklahoma about an erroneous filing made by the movant.

This form is used for requesting a review of a decision on appeal made by the Director of the Department of Human Services in Oklahoma.

This form is used for individuals in Oklahoma who want to request a fair hearing.

This Form is used for filing a discrimination complaint regarding a client or vendor in Oklahoma.

This form is used for Oklahoma resource families to request a fair hearing regarding their H-4 status.

This type of document is a complaint form for discrimination in Oklahoma.

This form is used for ensuring non-discrimination compliance in Oklahoma.

This form is used for requesting a reasonable accommodation in Oklahoma under the Americans with Disabilities Act (ADA).

This form is used for filing an intake referral with the Office of Client Advocacy in Oklahoma.

This Form is used for filing a grievance with the Office of Client Advocacy in Oklahoma.

This Form is used for the Local Grievance Coordinator (LGC) in Oklahoma to submit a grievance worksheet.

This form is used for filing a discrimination complaint by an employee in Oklahoma.

This form is used for foster parents in Oklahoma to exercise their rights to file a grievance. Foster parents can use this form to notify the appropriate authorities about any concerns or issues they may have regarding their placement or the foster care system.

This form is used for designating the local grievance coordinator facilities and provider agencies in Oklahoma.

This Form is used for creating a plan to ensure immediate safety in Oklahoma.

This document is a bodily injury chart form specific to Oklahoma. It is used for recording and documenting bodily injuries in legal cases or insurance claims in Oklahoma.

This document is used for conducting a review of a caretaker's conduct in an Oklahoma Department of Human Services operated facility.

This form is used for applying as a qualified entity in Oklahoma. It includes an agreement that needs to be filled out.

This form is used for providing a notice regarding statements made during internal investigations in the state of Oklahoma.

This Form is used for designating a contact person for client investigations in Oklahoma.

This form is used for filing quarterly grievance reports in Oklahoma. It is known as Form 15GR010E (OCA-GR-6).

This document is used in Oklahoma for disputing criminal history records.

This form is used for requesting a review of background checks in the state of Oklahoma.

This Form is used for submitting an E-Release to the Oklahoma Department of Human Services (OKDHS).

This form is used for Cellular Device Usage and Accountability Agreement in the state of Oklahoma.