Forms
BCC Program New Provider Application Documents - New Provider Application
BCC Program New Provider Application Documents - Provider Contact Form
BCC Program New Provider Application Documents - Provider Credential List
BCC Program New Provider Application Documents - Substitute W-9
FY26 Eligibility and Consent Form (English)
FY26 Eligibility and Consent Form (Spanish)
FY26 Screening and Referral Form
FY26 Clinic Based Patient Navigation Form (Print Version)
FY26 Clinic Based Patient Navigation Form (PDF Fillable Version)
The New Mexico J-1 Waiver Program (State 30 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.
New Mexico Child & Adult Tuberculosis (TB) Assessment
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.
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.
Eddy, Lea, Lincoln, and Roosevelt
Catron, Dona Ana, Grant, Hidalgo, Luna, Otero, Sierra, and Socorro
Programa de Detección para Recién Nacidos de Nuevo Mexico
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.
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.
Pre-Admissions Screening for the Meadows home
Meadows Home 2025 application
Use this form to request drug-facilitated sexual assault toxicology analysis.
Form for refusing newborn screening