PDF
Word
Form DHS-3971-ENG Enteral / Nutritional Authorization Form - Minnesota
What Is Form DHS-3971-ENG?
This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHS-3971-ENG form?
A: The DHS-3971-ENG form is the Enteral/Nutritional Authorization Form.
Q: What is the purpose of the Enteral/Nutritional Authorization Form?
A: The form is used to request authorization for enteral or nutritional services in Minnesota.
Q: Who needs to fill out the Enteral/Nutritional Authorization Form?
A: The form is typically filled out by healthcare providers or individuals seeking enteral or nutritional services in Minnesota.
Q: Are there any fees associated with submitting the form?
A: There are no fees associated with submitting the DHS-3971-ENG form.
Form Details:
- Released on August 1, 2011;
- The latest edition provided by the Minnesota Department of Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DHS-3971-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
Download Form DHS-3971-ENG Enteral / Nutritional Authorization Form - Minnesota
1
2
