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Forms

Photo of the publication cover. Translation Services Request Language Access Services - Form October 24, 2014

Complete this form to request translation services.



Photo of the publication cover. VFC Annual Recertification Form Immunization - Form October 17, 2014

All VFC providers are required to submit this annual VFC certification form in order to continue receiving VFC vaccines.



Photo of the publication cover. Patient Application Medical Cannabis Patients & Caregivers - Form October 16, 2014

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.

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