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

341 - 360 of 982 forms

Form Title Topics
HCWD Termination for Non-Payment of Premiums Division Of Medical Assistance
Health Agencies Request for DMA Forms Division Of Medical Assistance
Health Choice Enrollment & Waiting List Notification Division Of Medical Assistance
Health Coverage For Workers With Disabilities (HCWD) Medical Information Release Authorization Division Of Medical Assistance
Health Coverage for Workers with Disabilities Premium Notice Division Of Medical Assistance
Health Coverage from Jobs - Appendix A Division Of Medical Assistance
Health Department Check List For Breast and Cervical Cancer Medicaid Division Of Medical Assistance
Health History Form Division Of Social Services
Health History Form Instructions Division Of Social Services
Health Insurance Information Referral Form Division Of Medical Assistance
Health Insurance Premium Payment Program Application Division Of Medical Assistance
Health Summary Form - 30-day Comprehensive Visit Division Of Social Services
Health Summary Form - Initial Visit Division Of Social Services
Health Summary Form - Well-Visit Division Of Social Services
HIV Case Management - Continuing Education Hours Approval Form Division Of Medical Assistance
HIV Case Management - Medical Home Communication Tracker Division Of Medical Assistance
HIV Case Management Provider Recertification Application Division Of Medical Assistance
HIV Case Management Provider Recertification Application Checklist Division Of Medical Assistance
HIV Case Management Provider Recertification Application - Instructions Division Of Medical Assistance
Hysterectomy Statement Form Division Of Medical Assistance

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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