Forms
NMHSC Stipend Application for 2025
Primary Care & Rural Health - Form
June 26, 2025
The New Mexico Health Service Corps provides stipends to eligible health professionals during their last two years of training or residency who, in turn, enter into contract with the Department of Health to provide (when licensed) health service for a minimum of two years (1600 hours per year) in an underserved area of New Mexico. This document is the application for this program.
Inspection of Public Records Request Form
Inspection of Public Records Act - Form
June 26, 2025
Access to public records is one of the fundamental rights afforded people in a democracy. Even where there is no statute, a common law right to inspect and copy public records affords members of the public the opportunity to keep a watchful eye on government. In accordance with the Inspection of Public Records Act by the New Mexico Attorney General, you may use this form to submit a formal request to inspect public records.
VFC Southeast (B) Region Temperature Log Form
Immunization - Form
June 5, 2025
Eddy, Lea, Lincoln, and Roosevelt
VFC Southwest Region Temperature Log Form
Immunization - Form
June 5, 2025
Catron, Dona Ana, Grant, Hidalgo, Luna, Otero, Sierra, and Socorro
Newborn Screening Test Refusal - Form (Spanish)
Children's Medical Services - Form
April 18, 2025
Programa de Detección para Recién Nacidos de Nuevo Mexico
Certificate of Exemption from Immunization (English)
Immunization - Form
April 4, 2025
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 from Immunization (Spanish)
Immunization - Form
April 4, 2025
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.
2025 Meadows Home PASRR For Admission
Behavioral Health Institute - Form
March 27, 2025
Pre-Admissions Screening for the Meadows home
2025 Meadows Home Application for Admission
Behavioral Health Institute - Form
March 27, 2025
Meadows Home 2025 application
Drug-Facilitated Sexual Assault Toxicology Request Form
Toxicology - Form
March 18, 2025
Use this form to request drug-facilitated sexual assault toxicology analysis.
Newborn Screening Test Refusal - Form
Children's Medical Services - Form
March 14, 2025
Form for refusing newborn screening
Midwifery Advisory Board application
Certified Nurse Midwives and Licensed Midwives - Form
February 20, 2025
Midwifery Advisory Board application
Child Lead Exposure Questionnaire
Lead Poisoning Prevention - Form
February 19, 2025
Use this questionnaire to help you and your health care provider to decide if your child needs a blood test for lead.
Manual Application: NMDOH Certified Doula Application
Maternal Health - Form
January 28, 2025
NMDOH Certified Doula Application
Pathway 3 - Letter of Recommendation Form
Maternal Health - Form
January 28, 2025
Pathway 3 - Letter of Recommendation Form
Hospitalized Influenza Subtyping Test Request Form
Scientific Laboratory - Form
January 23, 2025
Hospitalized Influenza Subtyping Test Request Form
