Department of Health and Human Services

State of North Carolina

Official Website: https://www.ncdhhs.gov

The Department of Health and Human Services manages the delivery of health- and human-related services for all North Carolinians, especially our most vulnerable citizens – children, elderly, disabled and low-income families. The Department works closely with health care professionals, community leaders and advocacy groups; local, state and federal entities; and many other stakeholders to make this happen.

Forms & Documents

Browse all Department of Health and Human Services government forms

821 - 840 of 982 forms

Form Title Topics
Stakeholder Questionnaire Division Of Social Services
State Abortion Fund Eligibility Certification Division Of Social Services
State County Special Assistance Application Workbook Division Of Aging And Adult Services
State County Special Assistance Attachment A Division Of Aging And Adult Services
State/County Special Assistance Beneficiary Estate Subject to Medicaid Recovery Notice Division Of Medical Assistance
State County Special Assistance for Adults Workbook for Non-SSI Recipients Only Division Of Social Services
State / County Special Assistance for Adults Workbook for SSI Recipients Only Division Of Social Services
State Maternity Fund Residential Care Provider Agreement Division Of Social Services
Statement of Admin. Expenditure for Purchased Service Division Of Social Services
Statement of Assurance of Compliance with Title VI of Civil Rights Act of 1964 Division Of Social Services
Statement of Assurance of Compliance with Title VI of the Civil Rights Act of 1964 for Other Agencies, Institutions, Organizations or Facilities Division Of Social Services
Statement of Intent to Return Home Division Of Medical Assistance
Statement of Outstanding Checks Division Of Medical Assistance
Statement Of Spouse Or Dependent Relative In The Home Division Of Medical Assistance
State of North Carolina Application for Reimbursement of Non-Recurring Adoption Costs Division Of Social Services
Sterilization Consent Form Division Of Medical Assistance
Structured Documentation Instrument for CPS Assessments Division Of Social Services
Structured Documentation Instrument for CPS Assessments Part II Division Of Social Services
Student Income Verification Form Division Of Social Services
SUBSTANCE USE BEHAVIORAL INDICATOR CHECKLIST II Division Of Social Services

Contact Information & Office Locations

1 contact point

Administration

Address:
20301 Mail Service Center
116 W Jones Street
Raleigh, NC 27603

Phone numbers:
  • (919) 814-2000
Fax numbers:
  • (919) 733-2120

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