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HHS forms are used every day to perform tasks such as applying for benefits, contracting to provide goods or services, reporting incidents, declaring end of life wishes, and conducting other business.

ES = Spanish version available.

Title
Form 1597, Level of Care Redetermination Cover Sheet
Form 1594, Individualized Skills Assessment for Regulating Water Temperature
Form 1588, HCS Review Report
Form 1573, Residential Review Evidence of Correction
Form 8605, Documentation of Completion of Purchase
Form 8598, Non-Waiver Services
Form 8557, CLASS/DBMD Corrective Action Plan
Form 6517, Individual Program Plan (IPP) Service Review
Form 6510, Decline of Offer for DBMD Program Enrollment
Form 6509, CLASS/DBMD Coordination of Care
Form 6508, Specifications for Minor Home Modifications
Form 6507, Rationale for Adaptive Aids, Medical Supplies, and Minor Home Modifications
Form 6505, Daily Census Documentation
Form 6504, Prior Authorization for Dental Services
Form 6503, DBMD and CFC Summary of Services Delivered
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