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235709

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This form is used for filing a refusal to accept a referral or recommended follow-up in the state of North Dakota.

This document is generated to record various sterilization processes conducted by the Public Health Service in North Dakota. It's often used as a reference in confirming the sterilization process and standards adherence.

This form is used in North Dakota to refer individuals or families to relevant medical and social services related to family planning. It facilitates the provision of essential healthcare support.

This form is typically utilized by health professionals in North Dakota for a comprehensive review conducted every three years. It assists in evaluating clinicians' performances and ensuring they meet state health care standards.

This form is used for renewing the DMAP (Deer Management Assistance Program) application in Pennsylvania.

This Form is used for applying as a provider for the Recovery Housing Assistance Program in North Dakota.

This form is used for making referrals to a diabetes prevention program in North Dakota. It helps individuals with prediabetes get the necessary support and resources to prevent or delay the onset of type 2 diabetes.

This form is used for requesting a written test for the Emergency Medical Responder (EMR) certification in North Dakota.

This form is used for enrolling clients in a syringe exchange program in North Dakota.

This form is used for tracking and documenting syringe services activities in North Dakota. It helps to monitor the distribution and collection of syringes for harm reduction purposes.

This document is a biannual report that provides information on the syringe services program in North Dakota.

This document is used for requesting reimbursement for childcare expenses related to foster care during the COVID-19 pandemic in North Dakota.

This document is for licensed associate professional counselors in North Dakota to attest their enrollment in Medicaid.

This Form is used for licensed master social workers in North Dakota to enroll in Medicaid and provide attestation of their credentials.

This form is used for reporting child care concerns in North Dakota. It allows individuals to raise concerns about the quality or safety of child care facilities in the state.

This document is used for applying for the North Dakota Autism Waiver in North Dakota. It allows individuals with autism to access necessary services and supports.

This form is used for a guardian to petition the court and parents prior to removing a minor from the state of Illinois for more than 30 days. It is specific to Cook County, Illinois.

This form is used for submitting a no-file order in Cook County, Illinois.

This document is used for ordering information on the source of bail commitment in criminal cases in Cook County, Illinois.

This form is used for ordering the appointment of a mediator in Cook County, Illinois. It helps parties in a legal dispute find a neutral third party to facilitate mediation and resolution.

This form is used for filing an Order for Leave to Settle a Cause of Action related to wrongful death in Cook County, Illinois.

This form is used for placing an order for voucher compliance in Cook County, Illinois.

This Form is used for filing an order to grant defendant's motion for exemption in Cook County, Illinois.

This form is used to request a sealing order for legal documents in Cook County, Illinois. It is used to protect sensitive information and maintain confidentiality.

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