Kansas Department of Health & Environment Forms

This Form is used for replacing prescription eyeglasses in the state of Kansas.

This form is used for registering as a user on the Sleis platform in Kansas.

This form is used for registering a divorce or annulment in the state of Kansas. It serves as a worksheet to provide essential information and details about the marriage dissolution or annulment process.

This Form is used for applying for a license to operate a day care home or group day care home in Kansas. It provides instructions and guidelines for completing the application process.

This form is used for obtaining consent to release information in the state of Kansas, in accordance with the Family Educational Rights and Privacy Act (FERPA).

This Form is used for applying for medical assistance in Kansas for the elderly and persons with disabilities.

This form is used for applying or re-determining eligibility for Medicare Savings Plans in the state of Kansas.

This form is used for applying for medical assistance for families with children in Kansas.

This Form is used for providing a checklist of requirements for obtaining a license to operate a group day care home in a commercial building in the state of Kansas. It outlines the necessary documentation and steps needed to complete the application process.

This document is a Critical Incident Report form used in the state of Kansas. It is used to report and document critical incidents that occur in various settings such as healthcare facilities, child care centers, and other licensed facilities.

This Form is used for the Application Checklist for Childcare Centers, Preschools, and Headstarts in the state of Kansas. It provides a list of requirements and documents needed to apply for operating a childcare center or preschool in Kansas.

This form is used for applying to drop in programs in Kansas. It provides a checklist for applicants to ensure that they have all the necessary documents and information needed for their application.

This form is used for applying for a certified copy of a birth certificate in the state of Kansas.

This form is used for requesting a free certified copy of a birth certificate in Kansas.

This Form is used for authorizing emergency medical care in Kansas.

This Form is used for authorizing the administration of short-term medications, both prescription and over-the-counter, to children and young people in Kansas. (Spanish)

This Form is used for authorizing the administration of long-term medicines, both prescription and non-prescription, to children and young people in Kansas. (Spanish)

Este formulario es utilizado por los padres en Kansas para solicitar permiso para que sus hijos salgan de la guardería.