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ES MEDICAID SERVICES 471-000-3 Page 1 of 4 471-000-3 Instructions for Completing Form DM-5H, "Physician's Report on Hearing Loss" USE: Form DM-5H "Physician's Report on Hearing Loss" is required for authorization for hearing aid(s). The hearing aid specialist coordinates the completion of Form DM-5H. The form is completed by the Hearing Aid Specialist and the client's physician. COMPLETION: The following fields are completed by the Hearing Aid Specialist except for the Physician s Examinatio.

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Nebraska Department of Health & Human Services (DHHS) Among many things, this Division licenses physicians and other health care professionals, ensures the safety of our drinking water, provides HIV counseling and testing, inspects nursing homes, and investigates disease outbreaks.

Nebraska Department of Health & Human Services (DHHS) Among many things, this Division licenses physicians and other health care professionals, ensures the safety of our drinking water, provides HIV counseling and testing, inspects nursing homes, and investigates disease outbreaks.

Dr. Steve Corsi was appointed Chief Executive Officer (CEO) of the Department of Health and Human Services for the state of Nebraska on August 16, 2023. Corsi's most recent role is acting CEO of the Central Wyoming Counseling Center.

Alyssa Bish as the Director of Children and Family Services for the Nebraska Department of Health and Human Services (NDHHS). Dr.

Public Records Requests​​ All public records or Freedom of Information Act (FOIA) requests should be sent to the DHHS Public Records Office at DHHS.PublicRecords@nebraska.gov. Per state statute, any requests for data not on the Department's public domain are to be submitted via public records request. Social media.

Charity Menefee is the Director of the Division of Public Health for the Department of Health and Human Services (DHHS).

The department has five divisions: Behavioral Health, Children and Family Services, Developmental Disabilities, Medicaid and Long-Term Care and Public Health. The directors of the divisions are also appointed by the Governor and subject to confirmation by a majority vote of the members of the legislature.

Phone Number. (402) 471-8501. Toll Free Number. (877) 667-6266. Email Address. dhhs.ddeligibility@nebraska.gov ​​​

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232