Forms and Documents

Name of Document Downloadssort descending
Application for License of Family Foster Home 20
FY2016 Title XX, Consolidated Block Grants Program Post-Expenditure Report 29
Foster Care - Application for License of Family Foster Home 40
FY2016 BMS Annual Report corrected 030917 52
2017 Financial Assets Scale 54
Therapeutic Massage, Cosmetology, and Tattoo Health Certificate Application 62
RFP-DPHSS 2017-003 Professional Services for National Pharmaceutical Distributors 78
FY17 Intake Profile and Referral Form 81
Simplified Reporting FY2016 Final.7.11.2016page1 91
Vital Stastics Marrige Application Traditional 110
Periodic Change Report (Updated 2.23.17act) 110
FY2017 Guma San Jose Shelter 1st Quarter Report 112
SPA Guam Hospital Inpatient Amendments 114
SPA Guam Hospital Outpatient Amendments 118
Change Report Form Revised 10.22.14 120
FY2017 Alee I and II Shelter 1st Quarter Report 122
Vital Statisticsw Marriage Waiver Same Sex 127
Rules and Regulations for the Guam Prescription Drug Monitoring Program 131
Rules and Regulations Governing Temporary Workforce Housing 135
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 4th Quarter Report Revised 138
FY2016 DSC Final Expenditure Report for Non-Profit Organizations - Catholic Social Services 139
FY2016 BMS Annual Report 140
FY2016 BOSSA Annual Report 145
FY 2017 Guam Preventive Health and Health Services Block Grant 149
FY2016 Guma San Jose Shelter Annual Report 151
Medical Cannabis License Applications 153
FY2016 Alee I and II Shelter 4th Quarter Report 154
FY2016 Guma San Jose Shelter 4th Quarter Report 158
FY2016 Alee I and II Shelter Annual Report 167
Medicaid and MIP Expenditure and Demographic Report - FY2017 End of 1st Quarter Report 181
FY 2016 Bureau of Adult Protective Services Annual Legislative Report 198
SNAP Education 224
BES Annual Report for FY2016 234
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 3rd Quarter Report 238
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 4th Quarter Report 290
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 2nd Quarter Report 316
Simplified Reporting System Handout (Revised) 318
GBAHE License - Initial Application (Rev 07/2016) 362
FY2016 Alee I and II Shelter 3rd Quarter Report 392
FY2016 Guma San Jose Shelter 3rd Quarter Report 398
Application for Guam Board of Nurse Examiners 413
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 431
RFP Advertisement for DPHSS DPW BMS 16-001 477
RFP Advertisement for DPHSS DPW BMS 16-003 489
FY2016 Guma San Jose Shelter 1st Quarter Report 503
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 1st Quarter Report 511
FY2016 Guma San Jose Shelter 2nd Quarter Report 520
Division of Public Welfare FY 2015 Annual Report 523
FY2016 Alee I and II Shelter 1st Quarter Report 530
FY2016 Alee I and II Shelter 2nd Quarter Report 533
RFP Advertisement for DPHSS DPW BMS 16-002 544
RFP DPHSS DPW BMS 16-001 551
RFP DPHSS DPW BMS 16-002 552
GBCCEDP Cervical Cancer Screening Guidelines - Table of Contents 555
RFP DPHSS DPW BMS 16-003 555
Request for Proposals RFP/DPHSS-2012-006 National Family Caregiver Support Program 556
Press Release 2011-074 Annual Open Enrollment for Medicare Part D 561
SRCHC Temporarily Closed on Sept. 19, 2012 Until Further Notice due to Water Outage 562
FY2015 Title XX Post-Expenditure Report 562
Reporting Requirements for Non Profit Organizations re. P.L. 30-196 GGARP/SPIMA 563
Press Release 2010-015 566
Medicaid and MIP Expenditure and Demographic Report - FY2015 End of 3rd Quarter Report 567
Medicaid and MIP Demographic Report - FY2015 End of 2nd Quarter Report 578
Reporting Requirements for Non Profit Organizations re. P.L. 30-196 CSS 580
Notice of Closure at the Northern Regional Community Health Center 588
Press Release No. 2012-068 590
Medicaid and MIP Expenditure and Demographic Report - FY2014 End of 1st Quarter Report 591
Medicaid and MIP Expenditure and Demographic Report - FY2015 End of 1st Quarter Report 592
Recall of Certain Over-The-Counter Products Due to Potential Presence of 598
DPHSS 2010-05-06 Press Release 2010-30 - Voluntary recall of certain OTC products 599
Press Release 2011-072 Payment Adjustment for Provider Preventable Conditions 599
Summary and Analysis of Engagement in Additional Activities Report 599
RFP/DPHSS-2012-008 Screening and Diagnostic Services for the Guam Breast and Cervical Cancer Early Detection Program 600
Dengue Fever Epidemics Continue in our Region 604
Information Guide for Low-Income Households 604
Title V Maternal and Child Health Needs Assessment Availability 605
Guam Epidemiology Newsletter Report for Week Ending 12/29/2012 605
Medicaid and MIP Expenditure and Demographic Report - FY2014 End of 2nd Quarter Report 607
Supplemental Nutrition Assistance Program and Public Assistance Disqualification for the 2nd Quarter Fiscal Year 2012 608
DPHSS 2010-05-26 Press Release 2010-29 - Behavioral Risk Factor Surveillance 608
Swine Flu Information Samoan 609
Press Release 2010-015 609
FY2011 4th Quarter Guma San Jose Activities 610
Guam State Medicaid HIT Plan 611
Guam Epidemiology Newsletter 2012-44 615
FY2011 Post Expenditure Report for Title XX 616
Medicaid and MIP Expenditure and Demographic Report - FY2014 End of 4th Quarter Report 616
Special Recruitment for Family Foster Home 617
Request for Proposals RFP/DPHSS-2012-009 National Family Caregiver Support Program 618
DPHSS Announces Recall of President Global Corporation Bin-Bin Snow Rice Crackers & Bin-Bin Rice Crackers for Undeclared Egg 618
Pink Wave 618
Advisory for Mosquito-borne Disease Prevention and Control 618
CAN Referral Form FY2016 620
New Surgeon General's Report Calls Guam to Make the Next Generation Tobacco-Free 620
FY 2013 Guma San Jose Shelter Report for 2nd Quarter 622
Certified Nurse Assistant Written and/or Skills Exams Application Submission 622
Guam Epidemiology Newsletter Report for Week Ending 12-1-2012 623
Safely Prepare your Holiday Meals on Thanksgiving Day and during the Holiday Season 623
Pre-teens/Adolescent and Adults Immunization Outreach 623
FY 2014 Bureau of Adult Protective Services (BAPS) Annual Legislative Report 625