NH+C Forms
Forms and Documents
NH+C Forms
Name |
Name |
Authored |
Changed |
2023 Audit |
File MIME type |
|---|---|---|---|---|---|
z-test-b2 |
z-test-b2 | application/pdf | |||
Your Rights and Protections Against Surprise Medical Bills |
Your Rights and Protections Against Surprise Medical Bills | 2026_needs_review | application/pdf | ||
Winter 2023 |
Winter 2023 | application/pdf | |||
When A Loved One Dies Booklet |
When A Loved One Dies Booklet | Keep | application/pdf | ||
What over-the-counter medications are safe for me to take |
What over-the-counter medications are safe for me to take | Keep | application/pdf | ||
Tdap Vaccine Information Sheet.pdf |
Tdap Vaccine Information Sheet.pdf | Keep | application/pdf | ||
Spring 2023 |
Spring 2023 | application/pdf | |||
Sleep Study Order Form.pdf |
Sleep Study Order Form.pdf | Keep | application/pdf | ||
Short form HCD fillable.pdf |
Short form HCD fillable.pdf | Keep | application/pdf | ||
september_2025_bod_minutes_acc.pdf |
september_2025_bod_minutes_acc.pdf | application/pdf | |||
september_2024_bod_minutes_acc.pdf |
september_2024_bod_minutes_acc.pdf | application/pdf | |||
September 2023 BOD Minutes |
September 2023 BOD Minutes | application/pdf | |||
scholarship-award-appl-form.pdf |
scholarship-award-appl-form.pdf | application/pdf | |||
Right to Receive a Good Faith Estimate of Expected Charges Notice |
Right to Receive a Good Faith Estimate of Expected Charges Notice | 2026_needs_review | application/pdf | ||
Reference Lab Requisition |
Reference Lab Requisition | 2026_needs_review | application/pdf | ||
Post Offer Physical Screen EMS |
Post Offer Physical Screen EMS | 2026_needs_review | application/pdf | ||
PDS Home Sleep Test Instructions |
PDS Home Sleep Test Instructions | application/pdf | |||
Patient Grievance Form Fillable_0.pdf |
Patient Grievance Form Fillable_0.pdf | Keep | application/pdf | ||
Patient Grievance Form - Spanish fillable_0.pdf |
Patient Grievance Form - Spanish fillable_0.pdf | Keep | application/pdf | ||
october_2025_bod_minutes_acc.pdf |
october_2025_bod_minutes_acc.pdf | application/pdf | |||
october_2024_bod_minutes_acc.pdf |
october_2024_bod_minutes_acc.pdf | application/pdf | |||
October 2023 BOD Minutes |
October 2023 BOD Minutes | application/pdf | |||
november_2025_bod_minutes_acc.pdf |
november_2025_bod_minutes_acc.pdf | application/pdf | |||
november_2024_bod_minutes_acc.pdf |
november_2024_bod_minutes_acc.pdf | application/pdf | |||
November 2023 BOD Minutes |
November 2023 BOD Minutes | application/pdf | |||
nhc_annual_report_2024.pdf |
nhc_annual_report_2024.pdf | 2026_needs_review | application/pdf | ||
nhc_annual_report_2023.pdf |
nhc_annual_report_2023.pdf | 2026_needs_review | application/pdf | ||
NF Mailing Packet |
NF Mailing Packet | 2026_needs_review | application/pdf | ||
MyHealthAdult Proxy Form |
MyHealthAdult Proxy Form | Keep | application/pdf | ||
MyHealth Sign-up Form |
MyHealth Sign-up Form | 2026_needs_review | application/pdf | ||
MyHealth Child Proxy Form |
MyHealth Child Proxy Form | Keep | application/pdf | ||
may_2025_bod_minutes_acc.pdf |
may_2025_bod_minutes_acc.pdf | application/pdf | |||
may_2024_bod_minutes_acc.pdf |
may_2024_bod_minutes_acc.pdf | application/pdf | |||
May 2023 BOD Minutes |
May 2023 BOD Minutes | application/pdf | |||
march_2025_bod_minutes_acc.pdf |
march_2025_bod_minutes_acc.pdf | application/pdf | |||
March_2024_BOD_Minutes.pdf |
March_2024_BOD_Minutes.pdf | application/pdf | |||
March 2023 BOD Minutes |
March 2023 BOD Minutes | 2026_needs_review | application/pdf | ||
june_2024_bod_minutes_acc.pdf |
june_2024_bod_minutes_acc.pdf | application/pdf | |||
June 2023 BOD Minutes |
June 2023 BOD Minutes | application/pdf | |||
july_2025_bod_minutes_acc.pdf |
july_2025_bod_minutes_acc.pdf | application/pdf | |||
july_2024_bod_minutes_acc.pdf |
july_2024_bod_minutes_acc.pdf | application/pdf | |||
July 2023 BOD Minutes |
July 2023 BOD Minutes | application/pdf | |||
january_2025_bod_minutes_acc.pdf |
january_2025_bod_minutes_acc.pdf | application/pdf | |||
January 2024 BOD Minutes |
January 2024 BOD Minutes | application/pdf | |||
January 2023 BOD Minutes |
January 2023 BOD Minutes | 2026_needs_review | application/pdf | ||
Include Always Application |
Include Always Application | Keep | application/pdf | ||
Honoring Choices MN HCD_0.pdf |
Honoring Choices MN HCD_0.pdf | Keep | application/pdf | ||
financial-assistance-application.pdf |
financial-assistance-application.pdf | Keep | application/pdf | ||
february_2025_bod_minutes_acc.pdf |
february_2025_bod_minutes_acc.pdf | application/pdf | |||
February_2024_BOD_Minutes.pdf |
February_2024_BOD_Minutes.pdf | application/pdf | |||
February 2023 BOD Minutes |
February 2023 BOD Minutes | 2026_needs_review | application/pdf | ||
Disclosure Notice Regarding Patient Protections Against Surprise Billing spanish |
Disclosure Notice Regarding Patient Protections Against Surprise Billing spanish | application/pdf | |||
december_2024_bod_minutes_acc.pdf |
december_2024_bod_minutes_acc.pdf | application/pdf | |||
December_2023_BOD_Minutes.pdf |
December_2023_BOD_Minutes.pdf | application/pdf | |||
CPAP Medicare HCPCS Replacement Schedule |
CPAP Medicare HCPCS Replacement Schedule | 2026_needs_review | application/pdf | ||
Community Resources List |
Community Resources List | application/pdf | |||
CLIA Certificate 2023 to 2025 |
CLIA Certificate 2023 to 2025 | 2026_needs_review | application/pdf | ||
Chargemaster_3/26 |
Chargemaster_3/26 | text/csv | |||
bod_august_2024_minutes_acc.pdf |
bod_august_2024_minutes_acc.pdf | application/pdf | |||
Authorization ROI Form |
Authorization ROI Form | Keep | application/pdf | ||
Authorization for Disclosure Form |
Authorization for Disclosure Form | Keep | application/pdf | ||
august_2025_bod_minutes_acc.pdf |
august_2025_bod_minutes_acc.pdf | application/pdf | |||
august_2024_bod_minutes_acc.pdf |
august_2024_bod_minutes_acc.pdf | application/pdf | |||
August 2023 BOD Minutes |
August 2023 BOD Minutes | application/pdf | |||
april_2025_bod_minutes_acc.pdf |
april_2025_bod_minutes_acc.pdf | application/pdf | |||
april_2024_bod_minutes_acc.pdf |
april_2024_bod_minutes_acc.pdf | application/pdf | |||
April 2023 BOD Minutes |
April 2023 BOD Minutes | application/pdf | |||
2025 NH+C Magazine - Winter |
2025 NH+C Magazine - Winter | Keep | application/pdf | ||
2025 NH+C Magazine - Spring (PDF) |
2025 NH+C Magazine - Spring (PDF) | Keep | application/pdf | ||
2025 NH+C Magazine - Fall |
2025 NH+C Magazine - Fall | Keep | application/pdf | ||
2025 Clinic Publication.pdf |
2025 Clinic Publication.pdf | application/pdf | |||
2025 Average Charge per DRG |
2025 Average Charge per DRG | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet | |||
2024 NH+C Magazine - Winter |
2024 NH+C Magazine - Winter | Keep | application/pdf | ||
2024 NH+C Magazine - Spring |
2024 NH+C Magazine - Spring | application/pdf | |||
2024 NH+C Magazine - Fall |
2024 NH+C Magazine - Fall | Keep | application/pdf | ||
2023 NH+C Magazines- Spring (PDF) |
2023 NH+C Magazines- Spring (PDF) | application/pdf | |||
2023 NH+C Magazine- Winter (PDF) |
2023 NH+C Magazine- Winter (PDF) | application/pdf | |||
2023 NH+C Magazine - Fall |
2023 NH+C Magazine - Fall | Keep | application/pdf | ||
2022 NH+C Magazine - Winter |
2022 NH+C Magazine - Winter | application/pdf | |||
2022 NH+C Magazine - Spring |
2022 NH+C Magazine - Spring | application/pdf | |||
2022 NH+C Magazine - Fall |
2022 NH+C Magazine - Fall | application/pdf |