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This form is used for submitting a transfer order to the presiding judge in the Post Early Resolution Program in Cook County, Illinois.
This form is used for initiating a trial call order in Cook County, Illinois. It is a document that helps facilitate the scheduling of a trial in a court case.
This form is used for billing and assessment purposes in the Money Follows the Person (MFP) program for nursing services in North Dakota.
This form is used for authorizing the provision of a nursing assessment in the context of the Money Follows the Person program in North Dakota.
This form is used for referring individuals in North Dakota for skilled care and long-term services and supports (LTSS).
This form is used for hospitals in North Dakota to apply for the designation of Acute Cardiac Ready Hospital.
This document provides an overview of the North Dakota Cardiac System's guide for St-Segment Elevation Myocardial Infarction (STEMI), Non-ST-Elevation Myocardial Infarction (NSTEMI), and Acute Coronary Syndrome (ACS). It includes information on the guidelines and protocols followed in North Dakota for these cardiac conditions.
This Form is used for securely transmitting mail to other organizations in North Dakota.
This Form is used for referring individuals in Nevada to the Office for Consumer Health Assistance (OCHA) for help with healthcare-related issues.
This form is used for monthly reporting of the use of North Dakota's Disaster Response Grant for disaster response and recovery efforts in North Dakota.
This document provides instructions for applying for a subaward continuation in the state of Nevada.
This type of document is used for applying for a pharmacy remodel and relocation in the state of Nevada.
This document is an agreement that outlines the terms and conditions for healthcare providers to access and use the North Dakota Immunization Information System (NDIIS), which is a database that stores immunization records in North Dakota.
This form is used for applying for a technology grant in North Dakota.
This document outlines the protocol for conducting alcohol compliance checks in the City of Grand Forks, North Dakota. It provides guidelines and procedures to ensure that businesses are in compliance with alcohol laws and regulations.
This document is for applying for a Dispensing Technician (Td) certification in Nevada.
This document is an application for individuals in Nevada who are training to become dispensing technicians. It is used to apply for the Dispensing Technician in Training (TDT) program.
This form is used for applying for a Certificate of Approval in Maine.
This form is used for requesting reimbursement for direct services provided in North Dakota.
This form is used for requesting authorization for the Advanced Emergency Medical Technician (AEMT) Training Course in North Dakota.
This Form is used for requesting authorization to attend an emergency medical dispatch course in North Dakota.
This form is used for registering participants and obtaining physician authorization for an EMS course in North Dakota.
This form is used for enrolling in the North Dakota Medicaid Electronic Remittance Advice (835) program.