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

701 - 720 of 982 forms

Form Title Topics
Prior Approval Form for Lower Extremity Prosthetic Component L5968 Division Of Medical Assistance
Prior Approval Form for Lower Extremity Prosthetic Component L5980 Division Of Medical Assistance
Prior Approval Form for Lower Extremity Prosthetic Component L5987 Division Of Medical Assistance
Prior Approval Form for Lower Extremity Prosthetic Component L5988 Division Of Medical Assistance
Private Duty Nursing Employment Attestation Form Division Of Medical Assistance
Program Care Coordinator Pregnancy Outcome Report Division Of Medical Assistance
Program Integrity Appointment Notice Division Of Social Services
Program Reference Guide Division Of Social Services
Protocol for Field Assessment to Determine Need for On-Scene Decontamination Prior to Transport Division Of Social Services
Provider Transportation Record Division Of Medical Assistance
Purchase of Adoption Services Agreement Division Of Social Services
Quarterly Review Form Division Of Social Services
Recipient Request and Authorization to Disclose Health Information Division Of Medical Assistance
Recipient with a Temporary Exempt Division Of Medical Assistance
Record of Medical Expenses Applied to the Deductible Division Of Medical Assistance
Redetermination of Foster Care Assistance Benefits and/or Medical Assistance Only Division Of Social Services
Referral for Inpatient Hospital and Intermediate Care Facility in State Mental Hospital/State Mental Retardation Centers Division Of Medical Assistance
Referral For Investigation Division Of Medical Assistance
Referral for Social Security Number Application Division Of Social Services
Referral to Local Social Security Office 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

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions