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

101 - 120 of 982 forms

Form Title Topics
Breast and Cervical Cancer Medicaid Application Division Of Medical Assistance
Breast and Cervical Cancer Recertification: Screening, Diagnosis and Treatment Division Of Medical Assistance
Breast and Cervical Cancer Verification: Screening, Diagnosis and Treatment Division Of Medical Assistance
Buy-In Clerical Action Division Of Medical Assistance
Buy-In Clerical Action Division Of Medical Assistance
Calculating Penalty Period - Transfers 11/1/07 or Later Division Of Medical Assistance
CAP/C - Physician's Request Form for In-Home Nursing Services Division Of Medical Assistance
CAP Indicator Letter (Memorandum Division Of Medical Assistance
Care Coordination for Children (CC4C) Referral Form Division Of Social Services
Care Coordination Narrative Sheet Division Of Medical Assistance
Care Coordination Record Division Of Medical Assistance
Care Coordinator Appointment Record Division Of Medical Assistance
Carolina ACCESS Complaint Form Instructions Division Of Medical Assistance
Carolina ACCESS Enrollment Form Division Of Medical Assistance
Caseworker Desk Reference Division Of Social Services
CCNC/CA The Benefits of Being A Member-Medicaid Division Of Medical Assistance
CCNC/CA: The Benefits of Being a Member-NCHC Division Of Medical Assistance
Central Registry Report Continuation Page-Children Division Of Social Services
Central Registry Report Continuation Page - Perpetrator Division Of Social Services
Certificate of Delivery of Preplacement Assessment 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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