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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-DHS Employees General Use 7/9/2021
02AD010E Conflict of Interest Standards Aging 5/4/2020
02AD020E Harmony Provider Agency Memorandum of Understanding (MOU) Aging;Advantage 8/1/2023
02AD030E N/A Member Assurances Aging;Advantage 1/14/2021
02AD031E N/A Advantage Program Home Delivered Meals Conditions of Provider Participation Aging;Advantage 1/14/2021
02AD032E N/A Advantage Program Environmental Modifications Conditions of Provider Participation Aging;Advantage 1/14/2021
02AD033E N/A Advantage Program Durable Medical Equipment Conditions of Provider Participation Aging;Advantage 1/14/2021
02AD034E N/A Medicaid State Plan Personal Care Service Standards Aging;Advantage 1/14/2021
02AD036E N/A MSPPC Program Conditions of Provider Participation Aging;Advantage 1/14/2021