Skip to Main Content
State of Nevada Seal
State Agencies State Jobs ADA Assistance
  DHHS
  • Home
    HomeState of NevadaNevada Governor's OfficeDepartment of Health & Human Services
  • About Us
    About UsLeadershipNRS GovernanceBudget InformationBoards and CommissionsDirector's Office ProgramsEmployee Merit AwardFamily Friendly InitiativesPublic Records Request Policy
  • Divisions
    DivisionsAging and Disability Services (ADSD)Child and Family Services (DCFS)Health Care Financing and Policy (DHCFP - Medicaid)Public and Behavioral Health (DPBH)Welfare and Supportive Services (DWSS)Public Defender
  • Assistance
    AssistanceConsumer Health AssistanceFamily Resource CentersFood AssistanceFinancial AssistanceMedical AssistanceMental Health Assistance
  • Programs
    Programs2-1-1IDEA Part C OfficeNevada Governor's Council on Developmental DisabilitiesGrants Management Unit (GMU)Office of Consumer Health AssistanceOffice of Health Information Technology (HIT)Office of Minority HealthTribal LiaisonOffice of Analytics
  • Resources
    Resources2-1-1Employment OpportunitiesFormsListservNevada Health LinkNational ResourcesNevada Public NoticesPublic DefenderPublic Records RequestReports & Publications
  • Contact
    ContactContact the Director's OfficeCustomer ServiceFeedback FormPublic Records Request Policy & OfficialsContact the Office of Consumer Health AssistanceContact the Nevada Governor's Council on Developmental DisabilitiesContact the Grants Management UnitContact the Office of Health Information TechnologyContact IDEA Part C ProgramContact the Office of Minority HealthContact the Tribal LiaisonDivisionsContact the Public Defender
  • Boards and Commissions
    Boards and CommissionsAdvisory Committee on Problem Gambling (ACPG)Differential Response Steering CommitteeGovernor’s Council on Developmental DisabilitiesGrants Management Advisory CommitteeICC Nevada Interagency Coordinating Council (ICC)Office of Minority HealthGraduate Medical Education Task ForceAging and Disability ServicesChild and Family ServicesHealth Care Financing and Policy - Medical Care Advisory CommitteePublic and Behavioral Health (DPBH) Boards and CommissionsNevada Public NoticesGovernor's Council on Food Security
  • Home
    • State of Nevada
    • Nevada Governor's Office
    • Department of Health & Human Services
  • About Us
    • Leadership
      • Director
    • NRS Governance
    • Budget Information
    • Boards and Commissions
    • Director's Office Programs
    • Employee Merit Award
    • Family Friendly Initiatives
    • Public Records Request Policy
  • Divisions
    • Aging and Disability Services (ADSD)
    • Child and Family Services (DCFS)
    • Health Care Financing and Policy (DHCFP - Medicaid)
    • Public and Behavioral Health (DPBH)
    • Welfare and Supportive Services (DWSS)
    • Public Defender
  • Assistance
    • Consumer Health Assistance
    • Family Resource Centers
    • Food Assistance
    • Financial Assistance
    • Medical Assistance
    • Mental Health Assistance
  • Programs
    • 2-1-1
    • IDEA Part C Office
      • Project ASSIST
        • Informational Resources
        • Resources for Fathers
        • Local Resources
        • Statewide Resources
        • National Resources
        • Early Childhood Special Education Library
      • Interagency Coordinating Council (ICC)
        • Current Membership
        • Meeting Information
      • Early Intervention Programs
      • Publications
      • IDEA Staff
    • Nevada Governor's Council on Developmental Disabilities
    • Grants Management Unit (GMU)
    • Office of Consumer Health Assistance
      • CHA Home
      • About Us
        • Mission Statement
        • Governor’s Consumer Health Advocate
        • Executive Report
        • Brochures
      • Office of Minority Health
      • External Review
      • Resources
      • Request Assistance Forms
      • Appeal Tips
      • Worker's Comp Info
      • Pharmacy Assistance
        • RXHELP4NV.ORG
        • Canadian Pharmacy Program
      • Contact GovCHA
    • Office of Health Information Technology (HIT)
    • Office of Minority Health
      • NOMHE Seeking Advisory Committee Applicants
      • AMPLIFY EQUITY COVID-19 TOOL KIT
        • Cultural Literacy Strategies
        • Outreach and Public Awareness Strategies
        • Contact Tracing and Emergency Response Strategies
        • Action Planning and Reporting Strategies
    • Tribal Liaison
      • Tribal Consultation Meetings
        • 2015
    • Office of Analytics
  • Resources
    • 2-1-1
    • Employment Opportunities
    • Forms
    • Listserv
    • Nevada Health Link
    • National Resources
    • Nevada Public Notices
    • Public Defender
    • Public Records Request
    • Reports & Publications
      • Forms
      • Reports
      • Press Releases
      • Medicaid Expansion Presentations
      • Health Statistic Reports
      • Public Assistance Caseload
  • Contact
    • Contact the Director's Office
    • Customer Service
    • Feedback Form
    • Public Records Request Policy & Officials
    • Contact the Office of Consumer Health Assistance
    • Contact the Nevada Governor's Council on Developmental Disabilities
    • Contact the Grants Management Unit
    • Contact the Office of Health Information Technology
    • Contact IDEA Part C Program
    • Contact the Office of Minority Health
    • Contact the Tribal Liaison
    • Divisions
    • Contact the Public Defender
  • Boards and Commissions
    • Advisory Committee on Problem Gambling (ACPG)
      • ACPG Public Awareness Workgroup
      • ACPG Treatment Reimbursement Rate Workgroup
    • Differential Response Steering Committee
    • Governor’s Council on Developmental Disabilities
    • Grants Management Advisory Committee
    • ICC Nevada Interagency Coordinating Council (ICC)
      • Meeting Information
      • Members
    • Office of Minority Health
    • Graduate Medical Education Task Force
      • Meeting Information
    • Aging and Disability Services
    • Child and Family Services
    • Health Care Financing and Policy - Medical Care Advisory Committee
    • Public and Behavioral Health (DPBH) Boards and Commissions
    • Nevada Public Notices
    • Governor's Council on Food Security

Request for Assistance Forms


  • Request for Assistance Form (English)
  • Solicitud para Asistencia (Español)
State of Nevada
NV HomeDirectory of State AgenciesPublic Notices
Health & Human Services
HomeDivisionsDirector's Office Programs
Feedback
Customer ServiceFeedback Form
Contact
Phone, FAX, Hours & Location
State of Nevada ADA Compliance
    Section 508 WCAG 2.0 ADA Standards in Progress
    The Official State of Nevada Website | Copyright ©2021 State of Nevada - All Rights ReservedPrivacy PolicyADA Technology Accessibility GuidelinesWeb Style StandardsADA AssistanceState ADA Website
    Wheelchair Icon Icon is to Request Americans with Disabilities Act (ADA) document remediation for individuals using assistive technology devices
    Version