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Photo of the publication cover. Civil Money Penalty (CMP) Reinvestment Application Template Health Improvement - Form June 24, 2020

Civil Money Penalty (CMP) Reinvestment Application Template



Photo of the publication cover. 2019 Protocol Section 7: Overall Scoring Quality Management - Form June 18, 2020

Protocol Section 7: Overall Scoring



Photo of the publication cover. 2019 Protocol Section 6: Individual & Guardian Interviews Quality Management - Form June 18, 2020

Protocol Section 6: Individual & Guardian Interviews



Photo of the publication cover. 2019 Protocol Section 4: Employment/Day Quality Management - Form June 18, 2020

Protocol Section 4: Employment/Day



Photo of the publication cover. 2019 Protocol Section 3: Case Management Quality Management - Form June 18, 2020

Protocol Section 3: Case Management



Photo of the publication cover. 2019 Protocol Section 2: Nurse/Therapy/BSC Interviews Quality Management - Form June 18, 2020

Protocol Section 2: Nurse/Therapy/BSC Interviews



Photo of the publication cover. 2019 Protocol Section 1: Information Gathering Quality Management - Form June 18, 2020

Protocol Section 1: Information Gathering



Photo of the publication cover. 2014 IQR Community Practice Review Protocol Quality Management - Form June 18, 2020

2014 IQR Community Practice Review Protocol



Photo of the publication cover. 2016 IQR Mi Via Review Protocol Quality Management - Form June 18, 2020

2016 IQR Mi Via Review Protocol



Photo of the publication cover. Resource Request (ics 213 RR), Adapted for NM SEOC - Example COVID-19 Information for DD Providers - Form June 13, 2020

Resource Request (ics 213 RR), Adapted for NM SEOC - Example



Photo of the publication cover. Resource Request (ics 213 RR), Adapted for NM SEOC - Blank COVID-19 Information for DD Providers - Form June 13, 2020

Resource Request (ics 213 RR), Adapted for NM SEOC - Blank



Photo of the publication cover. Informal Reconsideration of Findings for Survey Reports Request Form Informal Reconsideration of Findings - Form June 11, 2020

Use this form to request an informal reconsideration of findings.



Photo of the publication cover. Breath Alcohol Instrument Peripheral Ordering Breath Alcohol - Form May 29, 2020

Breath Alcohol Instrument Peripheral Ordering







Photo of the publication cover. New and Returning Medical Cannabis Patient Application Resources, Publications and Archives - Form May 18, 2020

The application for first time and returning patients is the same. Please complete this form and submit it with a copy of your current New Mexico driver's license or state identification card. Temporary ID’s are not accepted. You must provide documentation to support diagnosis of the medical condition, past treatments, potential health benefit vs. risk of Medical Cannabis and the date(s) of service.





Photo of the publication cover. New Mexico J-1 Waiver Application 2021 Primary Care & Rural Health - Form April 29, 2020

The New Mexico J-1 waiver program allows foreign medical graduates to obtain a waiver of their 2 year foreign residence requirement in exchange for a commitment to practice in underserved areas of New Mexico after the completion of their training.



Photo of the publication cover. Priority of Case Status Request Form Toxicology - Form April 22, 2020

Use this form to request priority of case status.



Photo of the publication cover. EMS Reciprocity Licensing Application (updated April 2020) EMS Licensing - Form April 22, 2020

This form should be used for reciprocity applicants.

Reciprocity Licensing Instructions

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