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

361 - 380 of 982 forms

Form Title Topics
Icama Form 6.01, Notice of Medicaid Eligibility/Case Activation Division Of Social Services
ICAMA Form 6.02, Notice of Action Division Of Social Services
ICAMA Form 6.03, Report of Change in Child(ren) Family Status Division Of Social Services
ICPC Checklist for Interstate Placement Requests Division Of Social Services
ICPC Financial-Medical Plan Division Of Social Services
ICPC Receiving State Priority Home Study Request Division Of Social Services
ICPC Sending State Priority Home Study Request Division Of Social Services
ICPC Supervision Report - 30 Day Division Of Social Services
ICPC Supervision Report - 90 Days Division Of Social Services
ILR/ Authorization to Disclose Independent Living Rehabilitation Information Division Of Services For The Blind
ILR/ Authorization to Disclose Independent Living Rehabilitation Information Instructions Division Of Services For The Blind
ILR/ Authorization to Photograph/ Use Photograph/ Interview Division Of Services For The Blind
ILR/ Authorization to Photograph/ Use Photograph/ Interview Instructions Division Of Services For The Blind
ILR/ Billing for Mini Center Instructors Division Of Services For The Blind
ILR/Billing For Mini Center Instructors Instructions Division Of Services For The Blind
ILR/ Case Progress Notes Division Of Services For The Blind
ILR/ Case Progress Notes Instructions Division Of Services For The Blind
ILR/ Equipment and Computer Use Agreement Division Of Services For The Blind
ILR/ Equipment and Computer Use Agreement Instructions Division Of Services For The Blind
ILR/ ILOB Travel Reimbursement for Mini Center Instructors Division Of Services For The Blind

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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