Division of Services for the Blind

State of North Carolina

Official Website: https://www.ncdhhs.gov/divisions/services-blind

The Division of Services for the Blind provides services to people who are blind or visually impaired to help them reach their goals of independence and employment.

Forms & Documents

Browse all Division of Services for the Blind government forms

1 - 20 of 59 forms

Form Title Topics
Adult Care Home FL-2 (DMA372-124)
CA Hospital Admitting Agreement/Formal Arrangement
CA Office Visit Enroll Form
Certification of Need: Medicaid Inpatient Psychiatric Services Under Age 21
Certification of Need: Psychiatric Residential Treatment Facility Service Under Age 21
CMARC Request to Transfer Services - Aug. 26, 2022
CMHRP Request to Transfer Services - Aug. 26, 2022
Criterion V - Service Needs/Discharge Planning Status Form
Dear County 2018 04 16
Dear County 2018 04 17
Dear County 2018 07 25
Dear County Director 2018 01 26
Dear County Director 2018 02 14
Dear County Director 2018 02 26
Dear County Director 2018 03 29
Enrollment Form - Standard Plan - Spanish
Enrollment Form - Tailored Plan - English
Enrollment Form - Tailored Plan - Spanish
Health Plan Notification of Nursing Facility Level of Care Form (NC Medicaid-2039)
Hearing Aid Post Dispensing Evaluation Form

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