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Photo of the publication cover. Breath Alcohol Instrument Peripheral Ordering Breath Alcohol - Form May 29, 2020

Breath Alcohol Instrument Peripheral Ordering







Photo of the publication cover. New and Returning Medical Cannabis Patient Application Resources, Publications and Archives - Form May 18, 2020

The application for first time and returning patients is the same. Please complete this form and submit it with a copy of your current New Mexico driver's license or state identification card. Temporary ID’s are not accepted. You must provide documentation to support diagnosis of the medical condition, past treatments, potential health benefit vs. risk of Medical Cannabis and the date(s) of service.





Photo of the publication cover. New Mexico J-1 Waiver Application 2021 Primary Care & Rural Health - Form April 29, 2020

The New Mexico J-1 waiver 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.



Photo of the publication cover. Resource Request (ics 213 RR), Adapted for NM SEOC - Example COVID-19 Information for DD Providers - Form April 23, 2020

Resource Request (ics 213 RR), Adapted for NM SEOC - Example



Photo of the publication cover. Resource Request (ics 213 RR), Adapted for NM SEOC - Blank COVID-19 Information for DD Providers - Form April 23, 2020

Resource Request (ics 213 RR), Adapted for NM SEOC - Blank



Photo of the publication cover. Priority of Case Status Request Form Toxicology - Form April 22, 2020

Use this form to request priority of case status.



Photo of the publication cover. EMS Reciprocity Licensing Application (updated April 2020) EMS Licensing - Form April 22, 2020

This form should be used for reciprocity applicants.

Reciprocity Licensing Instructions



Photo of the publication cover. NMSIIS Decision to Remove Record Immunization - Form April 15, 2020

This form is used by a patient/parent/legal guardian to remove records from the New Mexico Statewide Immunization Information System.



Photo of the publication cover. NMSIIS Decline to Participate Form Immunization - Form April 15, 2020

This form is used by a patient/parent/legal guardian to decline to participate in the New Mexico Statewide Immunization Information System.



Photo of the publication cover. VaxViewNM Demographic and Contact Information Form Immunization - Form April 15, 2020

VaxViewNM Demographic and Contact Information Form



Photo of the publication cover. Certificate of Exemption from Immunization (English) Immunization - Form April 14, 2020

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



Photo of the publication cover. Certificate of Exemption from Immunization (Spanish) Immunization - Form April 14, 2020

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.



Photo of the publication cover. NMSIIS User Security and Confidentiality Agreement Immunization - Form April 13, 2020

User security and confidentiality agreement for the New Mexico Statewide Immunization Information System.



Photo of the publication cover. NMSIIS Participant Organization Security and Confidentiality Agreement Immunization - Form April 13, 2020

Participant organization security and confidentiality agreement for the New Mexico Statewide Immunization Information System.





Photo of the publication cover. Medical Cannabis Courier Application Medical Cannabis Producers & Distributors - Form March 30, 2020

This is the application for those interested in providing courier services.



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