Rural health care practitioner tax credit program application.
This form should be used to report annual service for the local funding grant program.
This form should be used to apply for the local funding grant program.
Use this form to order family planning educational resources.
This form should be used for renewal applicants.
Use this form to enroll and record use of naloxone.
Use this form to request general chemistry analysis.
Counties: Cibola, McKinley, San Juan, Sandoval, Torrance, and Valencia
This form is used to return vaccines and to track your inventory. Vaccines that are returned are then cleared from your inventory. Complete and fax this form to the NM VFC Program before you return any vaccines.
This form applies only to vaccines provided by the NM Vaccines for Children Program. Use only for transferring vaccine to another NM VFC Provider. Transfer vaccines three months before expiration date.
This form should be used to report out of range temperature incidents and submit a troubleshooting record to the vaccines for children program.
This document describes the required process for eligible trauma system development projects to receive funding. Funding will be issued through a separate agreement between each approved organization and the New Mexico Department of Health Memorandum of Agreement process.
For Local POD Planning with Local Law Enforcment Agencies
POD Resupply Request - Standard Operating Procedure
POD Director - Operational Briefing
The purpose of this document is to specify the requirements for the acceptable use and/or disclosure of protected health information by members of the New Mexico Department of Health workforce.
Volunteer Information Form
Volunteer Policy and Agreement Form
Volunteer Addendum - Resource Request