Forms and Documents

Name of Document Downloadssort descending
WIC Job Announcement - Community Nutritionist II 13
WIC Job Announcement - Nutrition Assistant II 26
FY2017 Alee I and II Shelters 2nd Quarter Report 52
WIC Job Announcement - Nutrition Assistant I 57
RFP-DPHSS 2017-005 Clinical Laboratory and Pathology Services for Northern & Southern Region Community Health Centers 68
Application for License of Family Foster Home 79
2017 Financial Assets Scale 120
FY2016 Title XX, Consolidated Block Grants Program Post-Expenditure Report 135
RFP-DPHSS 2017-003 Professional Services for National Pharmaceutical Distributors 148
Therapeutic Massage, Cosmetology, and Tattoo Health Certificate Application 155
Foster Care - Application for License of Family Foster Home 164
FY17 Intake Profile and Referral Form 165
SPA Guam Hospital Inpatient Amendments 175
FY2016 BMS Annual Report corrected 030917 179
Vital Stastics Marrige Application Traditional 184
SPA Guam Hospital Outpatient Amendments 184
Simplified Reporting FY2016 Final.7.11.2016page1 186
Vital Statisticsw Marriage Waiver Same Sex 193
FY2016 DSC Final Expenditure Report for Non-Profit Organizations - Catholic Social Services 201
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 4th Quarter Report Revised 208
FY2016 BMS Annual Report 219
FY2016 Guma San Jose Shelter Annual Report 219
FY2017 Guma San Jose Shelter 1st Quarter Report 220
FY2016 Alee I and II Shelter 4th Quarter Report 225
FY2016 Guma San Jose Shelter 4th Quarter Report 229
FY2017 Alee I and II Shelter 1st Quarter Report 230
FY2016 BOSSA Annual Report 233
Rules and Regulations Governing Temporary Workforce Housing 233
Periodic Change Report (Updated 2.23.17act) 237
Medical Cannabis License Applications 238
Rules and Regulations for the Guam Prescription Drug Monitoring Program 242
FY 2017 Guam Preventive Health and Health Services Block Grant 259
Medicaid and MIP Expenditure and Demographic Report - FY2017 End of 1st Quarter Report 259
FY2016 Alee I and II Shelter Annual Report 262
Change Report Form Revised 10.22.14 263
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 3rd Quarter Report 314
PHSS - PHYSICIAN SPECIALIST (BOARD ELIGIBLE AND BOARD CERTIFIED) 315
FY 2016 Bureau of Adult Protective Services Annual Legislative Report 319
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 4th Quarter Report 343
BES Annual Report for FY2016 349
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 2nd Quarter Report 372
Simplified Reporting System Handout (Revised) 385
SNAP Education 385
GBAHE License - Initial Application (Rev 07/2016) 435
FY2016 Alee I and II Shelter 3rd Quarter Report 455
FY2016 Guma San Jose Shelter 3rd Quarter Report 467
Application for Guam Board of Nurse Examiners 484
Public Hearing Announcement #2016-11 on Current Fee Schedules for Application of License or Renewal of License of Child Day Care Facilities and Group Child Care Homes 506
RFP Advertisement for DPHSS DPW BMS 16-001 529
RFP Advertisement for DPHSS DPW BMS 16-003 539
FY2016 Guma San Jose Shelter 1st Quarter Report 564
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 1st Quarter Report 576
FY2016 Guma San Jose Shelter 2nd Quarter Report 587
Division of Public Welfare FY 2015 Annual Report 593
RFP DPHSS DPW BMS 16-001 604
FY2016 Alee I and II Shelter 1st Quarter Report 604
RFP DPHSS DPW BMS 16-003 606
FY2016 Alee I and II Shelter 2nd Quarter Report 608
Request for Proposals RFP/DPHSS-2012-006 National Family Caregiver Support Program 608
Press Release 2010-015 613
RFP DPHSS DPW BMS 16-002 615
GBCCEDP Cervical Cancer Screening Guidelines - Table of Contents 616
RFP Advertisement for DPHSS DPW BMS 16-002 617
Press Release 2011-074 Annual Open Enrollment for Medicare Part D 618
Medicaid and MIP Expenditure and Demographic Report - FY2015 End of 3rd Quarter Report 618
Reporting Requirements for Non Profit Organizations re. P.L. 30-196 GGARP/SPIMA 621
Reporting Requirements for Non Profit Organizations re. P.L. 30-196 CSS 622
FY2015 Title XX Post-Expenditure Report 628
SRCHC Temporarily Closed on Sept. 19, 2012 Until Further Notice due to Water Outage 630
Medicaid and MIP Demographic Report - FY2015 End of 2nd Quarter Report 639
Notice of Closure at the Northern Regional Community Health Center 642
Press Release No. 2012-068 646
Medicaid and MIP Expenditure and Demographic Report - FY2014 End of 1st Quarter Report 648
Medicaid and MIP Expenditure and Demographic Report - FY2015 End of 1st Quarter Report 649
Press Release 2011-072 Payment Adjustment for Provider Preventable Conditions 655
Recall of Certain Over-The-Counter Products Due to Potential Presence of 656
Summary and Analysis of Engagement in Additional Activities Report 656
FY2011 4th Quarter Guma San Jose Activities 657
Guam Epidemiology Newsletter 2012-44 658
DPHSS 2010-05-06 Press Release 2010-30 - Voluntary recall of certain OTC products 658
Guam Epidemiology Newsletter Report for Week Ending 12/29/2012 660
Information Guide for Low-Income Households 662
Dengue Fever Epidemics Continue in our Region 662
DPHSS 2010-05-26 Press Release 2010-29 - Behavioral Risk Factor Surveillance 662
Title V Maternal and Child Health Needs Assessment Availability 665
Pink Wave 668
Supplemental Nutrition Assistance Program and Public Assistance Disqualification for the 2nd Quarter Fiscal Year 2012 669
FY2011 Post Expenditure Report for Title XX 669
FY 2013 Guma San Jose Shelter Report for 2nd Quarter 669
RFP/DPHSS-2012-008 Screening and Diagnostic Services for the Guam Breast and Cervical Cancer Early Detection Program 670
Request for Proposals RFP/DPHSS-2012-009 National Family Caregiver Support Program 672
Advisory for Mosquito-borne Disease Prevention and Control 674
GUAM EPIDEMIOLOGY NEWSLETTER 674
January is Cervical Cancer Awareness Month 675
Medicaid and MIP Expenditure and Demographic Report - FY2014 End of 4th Quarter Report 676
Supplemental Nutrition Assistance Program and Public Assistance Disqualification for the 3rd Quarter Fiscal Year 2010 677
CAN Referral Form FY2016 678
Swine Flu Information Samoan 678
Pre-teens/Adolescent and Adults Immunization Outreach 678
Budgets & Contracts 678