Forms
EMS Parental Consent for EMSFR or EMT-B Licensure Form
Emergency Medical Systems - Form
June 12, 2013
This form should be used by the parents of children applying for EMSFR or EMT-B licensure.
Putative Father Registry Inclusion Request
Vital Records - Form
April 8, 2013
This is a request for inclusion the New Mexico Putative Father Registry. This request is made either voluntarily by a father who hereby gives notice that he intends to claim paternity or has claimed paternity of his child, or involuntarily on the basis of a court order determining paternity.
Medical Cannabis HIPAA Authorization
Medical Cannabis Educational Materials, Resources, Publications and Archives - Form
March 22, 2013
This authorization allows the Department of Health (DOH) to disclose confidential health information about you. The authorization may be revoked. It will remain in effect for six (6) months unless a different time is stated. You are entitled to a copy of the completed authorization. There may be fees charged for any copying associated with this request.