Forms

NM J-1 Waiver Application 2027 Primary Care & Rural Health - Form July 8, 2026

The New Mexico J-1 Waiver Program (State 30 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.

Attachment A
Attachment C

DMPA – Sub-Q Disposal of Needles and Unused Medication Handout Family Planning - Form July 2, 2026

DMPA – Sub-Q Disposal of Needles and Unused Medication Handout

Sliding Fee Scale Family Planning - Form July 1, 2026

Sliding Fee Scale

New Mexico Sexually Transmitted Disease Morbidity Form Sexually Transmitted Diseases - Form July 1, 2026

New Mexico Sexually Transmitted Disease Morbidity Form

Sterilization - Consent Form (English) Family Planning - Form June 24, 2026

Sterilization - Consent Form (English)

Sterilization - Consent Form (Spanish) Family Planning - Form June 24, 2026

Sterilization - Consent Form (Spanish)

Complaints against Doulas Maternal Health - Form May 26, 2026

Complaints against Doulas

Midwife Complaint Form - 2026 Certified Nurse Midwives and Licensed Midwives - Form May 21, 2026

Use this form to file a complaint against a midwife.

IR 9000 Online Recertification Application Breath Alcohol - Form May 13, 2026

IR 9000 Online Recertification Application

Candidate Questionnaire Form Community Health Workers - Form May 13, 2026

Form for potential CHW board members

NM Department of Public Safety Authorization Form Community Health Workers - Form May 13, 2026

Authorization form for CHW Board applicants

SLD 2026 IR (Infrared) 9000 Training Schedule Breath Alcohol - Form May 5, 2026

Use this form to request online training.

Documentation of Observed Family Planning Procedures Family Planning - Form April 7, 2026

Documentation of Observed Family Planning Procedures

Certificate of Exemption from Immunization (English) Immunization - Form January 26, 2026

This form may be used by individuals requesting a religious or medical exemption to immunization for their children whom attend any public, private or parochial pre-school, kindergarten, elementary, secondary school, or home school and for children attending daycare of childcare facilities.

Certificate of Exemption FAQ

Certificate of Exemption from Immunization (Spanish) Immunization - Form January 20, 2026

This form may be used by individuals requesting a religious or medical exemption to immunization for their children whom attend any public, private or parochial pre-school, kindergarten, elementary, secondary school, or home school and for children attending daycare of childcare facilities.