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Forms

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INSTRUCTIONS TO OPEN FORMS

  1. Make sure you have a current version of Adobe Reader.  ​Get the latest versions of Adobe Acrobat Reader from the Downloads and Plug-ins page.
  2. Download the form - right click on the link and select save link as and save it to your computer;
  3. Open the file  - right click on the file and choose open with Adobe Reader. 

NOTE: Forms cannot be opened on mobile devices.  You must follow the steps above on a computer/laptop.


Note For Users Of Assistive Technology

While using Adobe Reader with Protected Mode enabled on Windows XP operating systems, some Assistive technologies may not be able to read some document content.  If you do encounter problems, turning off Protected Mode may help. This can be done by choosing Edit > Preferences > General and unchecking Enable Protected Mode at Startup.

HAVING TROUBLE OPENING FORMS?

Contact us at dhsforms@okdhs.org.


Form no.Legacy no.Form nameCategoryRevision Date
02AD002E N/A Harmony Access Request for Non-OKDHS Employees General Use 5/14/2025
02AD010E Conflict of Interest Standards Aging 5/4/2020
02AD020E Harmony Provider Agency Memorandum of Understanding (MOU) Aging;Advantage 8/1/2023
02AD034E N/A Medicaid State Plan Personal Care Service Standards Aging;Advantage 1/14/2021
02AD038E N/A ADvantage Waiver Program HIPAA Business Associate Agreement Aging;Advantage 8/11/2022
02AG001E ABCDM-083-A Request for Title XIX Nursing Assessment Medical 11/10/2006
02AG004E AG-002-B Change of Client Status Aging 8/13/2003
02AG005E AG-025 Annual Assessment Aging 10/1/2005
02AG006E AG-029 Voluntary Withdrawal of Title III Project Aging 4/20/2007