Forms and Documents

Name of Document Downloadssort descending
FY2017 Guma San Jose Shelter 2nd Quarter Report 146
WIC Job Announcement - Nutrition Assistant II 149
WIC Job Announcement - Community Nutritionist II 155
Medicaid and MIP Expenditure and Demographic Report - FY2017 End of 2nd Quarter Report 156
Application for License of Family Foster Home 163
RFP-DPHSS 2017-005 Clinical Laboratory and Pathology Services for Northern & Southern Region Community Health Centers 175
FY2017 Alee I and II Shelters 2nd Quarter Report 204
WIC Job Announcement - Nutrition Assistant I 237
2017 Financial Assets Scale 242
FY2016 Title XX, Consolidated Block Grants Program Post-Expenditure Report 258
RFP-DPHSS 2017-003 Professional Services for National Pharmaceutical Distributors 260
SPA Guam Hospital Inpatient Amendments 285
FY17 Intake Profile and Referral Form 286
Therapeutic Massage, Cosmetology, and Tattoo Health Certificate Application 297
SPA Guam Hospital Outpatient Amendments 307
Vital Stastics Marrige Application Traditional 314
FY2016 DSC Final Expenditure Report for Non-Profit Organizations - Catholic Social Services 319
FY2017 Alee I and II Shelter 1st Quarter Report 333
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 4th Quarter Report Revised 337
Vital Statisticsw Marriage Waiver Same Sex 339
FY2017 Guma San Jose Shelter 1st Quarter Report 343
FY2016 BMS Annual Report corrected 030917 344
Simplified Reporting FY2016 Final.7.11.2016page1 352
Foster Care - Application for License of Family Foster Home 356
FY2016 Guma San Jose Shelter 4th Quarter Report 356
FY2016 BMS Annual Report 359
FY2016 Guma San Jose Shelter Annual Report 374
FY2016 Alee I and II Shelter 4th Quarter Report 376
Medicaid and MIP Expenditure and Demographic Report - FY2017 End of 1st Quarter Report 379
Medical Cannabis License Applications 381
FY2016 BOSSA Annual Report 400
FY 2017 Guam Preventive Health and Health Services Block Grant 408
FY2016 Alee I and II Shelter Annual Report 422
Rules and Regulations Governing Temporary Workforce Housing 431
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 3rd Quarter Report 432
Periodic Change Report (Updated 2.23.17act) 449
Change Report Form Revised 10.22.14 463
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 4th Quarter Report 466
Rules and Regulations for the Guam Prescription Drug Monitoring Program 469
Simplified Reporting System Handout (Revised) 491
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 2nd Quarter Report 491
FY 2016 Bureau of Adult Protective Services Annual Legislative Report 512
GBAHE License - Initial Application (Rev 07/2016) 557
BES Annual Report for FY2016 558
FY2016 Alee I and II Shelter 3rd Quarter Report 593
SNAP Education 606
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 613
FY2016 Guma San Jose Shelter 3rd Quarter Report 615
RFP Advertisement for DPHSS DPW BMS 16-001 633
RFP Advertisement for DPHSS DPW BMS 16-003 635
Application for Guam Board of Nurse Examiners 639
FY2016 Guma San Jose Shelter 1st Quarter Report 671
FY 2016 Medicaid and MIP Expenditure and Demographic Report - End of 1st Quarter Report 692
Request for Proposals RFP/DPHSS-2012-006 National Family Caregiver Support Program 696
FY2016 Alee I and II Shelter 1st Quarter Report 701
Press Release 2010-015 706
Division of Public Welfare FY 2015 Annual Report 707
Press Release 2011-074 Annual Open Enrollment for Medicare Part D 709
Reporting Requirements for Non Profit Organizations re. P.L. 30-196 CSS 714
Medicaid and MIP Expenditure and Demographic Report - FY2015 End of 3rd Quarter Report 717
Notice of Closure at the Northern Regional Community Health Center 720
RFP DPHSS DPW BMS 16-003 722
Reporting Requirements for Non Profit Organizations re. P.L. 30-196 GGARP/SPIMA 724
RFP DPHSS DPW BMS 16-001 727
RFP Advertisement for DPHSS DPW BMS 16-002 737
GBCCEDP Cervical Cancer Screening Guidelines - Table of Contents 740
FY 2013 Guma San Jose Shelter Report for 2nd Quarter 740
FY2016 Guma San Jose Shelter 2nd Quarter Report 741
RFP DPHSS DPW BMS 16-002 741
Medicaid and MIP Expenditure and Demographic Report - FY2014 End of 1st Quarter Report 745
SRCHC Temporarily Closed on Sept. 19, 2012 Until Further Notice due to Water Outage 747
Medicaid and MIP Expenditure and Demographic Report - FY2015 End of 1st Quarter Report 748
FY2016 Alee I and II Shelter 2nd Quarter Report 750
Medicaid and MIP Demographic Report - FY2015 End of 2nd Quarter Report 750
Pink Wave 754
Summary and Analysis of Engagement in Additional Activities Report 754
Supplemental Nutrition Assistance Program (SNAP) Electronic Benefits Transfer (EBT) Fact Sheet for New Retailers 759
Press Release No. 2012-068 760
Press Release 2011-072 Payment Adjustment for Provider Preventable Conditions 760
DPHSS 2010-05-06 Press Release 2010-30 - Voluntary recall of certain OTC products 761
FY2015 Title XX Post-Expenditure Report 761
Budgets & Contracts 764
Guam Epidemiology Newsletter 2012-44 764
Dengue Fever Epidemics Continue in our Region 764
RFP Announcement Legal Assistance Services RFP #RFP/DPHSS-2013-001 768
Supplemental Nutrition Assistance Program and Public Assistance Disqualification for the 3rd Quarter Fiscal Year 2010 768
Pre-teens/Adolescent and Adults Immunization Outreach 769
FY2011 Post Expenditure Report for Title XX 770
GUAM EPIDEMIOLOGY NEWSLETTER - 9/22/2012 771
RFP/DPHSS-2012-004 Tobacco Free Guam Quitline and Online Cessation Services 771
Health Informatics Consultant Team Proposals Request 773
Medicaid and MIP Expenditure and Demographic Report - FY2014 End of 4th Quarter Report 773
Guam Epidemiology Newsletter Report for Week Ending 12/29/2012 773
Recall of Certain Over-The-Counter Products Due to Potential Presence of 774
Advisory for Mosquito-borne Disease Prevention and Control 775
FY2011 4th Quarter Guma San Jose Activities 775
Thank You from the Division of Senior Citizens 776
FY 2012 NPO Service Provider Disclosure 778
Request for Proposals RFP/DPHSS-2012-009 National Family Caregiver Support Program 779
Tutorial - Editing Pages 780