Forms
Military to NM EMS Licensure
Emergency Medical Systems - Form
September 24, 2021
For Active-Duty Military members, spouses of military service members and recent Veterans
Contraceptive Implant – Consent Form
Family Planning - Form
September 24, 2021
Contraceptive Implant – Consent Form
Contraceptive Implant – Counseling Handout
Family Planning - Form
September 24, 2021
Contraceptive Implant – Counseling Handout
Contraceptive Implant – Post Insertion and Removal Instructions
Family Planning - Form
September 24, 2021
Contraceptive Implant – Post Insertion and Removal Instructions
Paragard IUD – Counseling Handout
Family Planning - Form
September 24, 2021
Paragard IUD – Counseling Handout
Levonorgestrel IUD – Consent Form
Family Planning - Form
September 24, 2021
Levonorgestrel IUD – Consent Form
Levonorgestrel IUD – Counseling Handout
Family Planning - Form
September 24, 2021
Levonorgestrel IUD – Counseling Handout
Emergency Care Instructions – OCP/Patch/Vaginal Ring
Family Planning - Form
September 24, 2021
Emergency Care Instructions – OCP/Patch/Vaginal Ring
Emergency Care Instructions – DMPA and Contraceptive Implant
Family Planning - Form
September 24, 2021
Emergency Care Instructions – DMPA and Contraceptive Implant
Emergency Care Instructions – IUD
Family Planning - Form
September 24, 2021
Emergency Care Instructions – IUD
Medical Cannabis Patient Application
Medical Cannabis Resources, Publications and Archives - Form
September 23, 2021
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.
Regional Office Request for Assistance
Regional Offices - Form
August 23, 2021
Regional Office Request for Assistance