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

281 - 300 of 982 forms

Form Title Topics
Estate Recovery - Permanently Institutionalized Division Of Medical Assistance
Estate Subject To Medicaid Recovery:Individuals Under Age 55 Division Of Medical Assistance
Excused Absence Log (For Unpaid Activities Division Of Social Services
Explanation of Disqualification Division Of Social Services
Explanation Of The Effect Of Transfer Of Asset (s) On Medical Assistance Eligibility Division Of Medical Assistance
Extension Hearing Request Division Of Social Services
Facility Evaluation Division Of Aging And Adult Services
Facility ID Number Application Division Of Social Services
Family Care Coordination Plan Division Of Medical Assistance
Family Planning Waiver New Enrollee Letter Division Of Medical Assistance
Family Support Parent and Family Questionnaire - Client Satisfaction Survey Division Of Social Services
Family Violence Option/Domestic Violence Work First Assessment Division Of Social Services
FAX Request Form - From County DSS to EOIR Division Of Medical Assistance
FAX Request Form - From County DSS to USCIS Division Of Medical Assistance
Fire and Building Safety Inspection Report Division Of Social Services
Fire and Building Safety Inspection Report (Institutional Building Division Of Social Services
First Notice to Work First Families with Two Adult Recipients Able to Work Division Of Social Services
FNS First Month of Overissuance Determination Standard and Simplified Cases Division Of Social Services
Food and Nutrition Services Client Record Division Of Social Services
Food and Nutrition Services Complaint Procedures 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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