Division of Public and Behavioral Health

State of Nevada

Official Website: http://dpbh.nv.gov

The Nevada Division of Public and Behavioral Health (DPBH) is part of the Department of Health and Human Services, under the Executive Branch of the State of Nevada. DPBH is comprised of the former Health Division and Division of Mental Health and Developmental Services. On July 1, 2013, the two divisions merged to form DPBH.

Forms & Documents

Browse all Division of Public and Behavioral Health government forms

41 - 60 of 116 forms

Form Title Topics
Guidance Checklist for Radiopharmacy Licensee
Guidance Checklist for Veterinary Licensee
Guidance for the NRC 313A Forms
Healthcare Facility Risk Assessment Worksheet (Appendix B)
Healthcare Facility Risk Classification (Appendix C)
Immunization Record Request Form
Individual Sewage Disposal Systems
Instructions for Completing Disclosure of Ownership and Control Interest Statement
Interjurisdictional Follow Up Form
Interjurisdictional Tuberculosis Notification (IJTN) & Follow up Forms
Interjursidictional Form (IJN)
International TB Transfer Form
Laboratory Director Verification Form
Landlord Acknowledgement Form
Latent TB Infection (LTBI) Confidential Report Form
Lifetime or Current Year Occupational Dose Form
LTBI Treatment Flowsheet- LTBI Optional Companion Form
Mammography Machine Application for Certificate of Authorization - Addendum 1
Mammography Machine Application for Certificate of Authorization - Addendum 2
Mammography Physicians Supplement

Contact Information & Office Locations

1 contact point

Headquarters

Address:
4150 Technology Way
Carson City, NV 89706

Phone numbers:
  • (775) 684-4200
Fax numbers:
  • (775) 684-4211
Emails:
  • dpbh@health.nv.gov
Hours of operation:
  • Business Hours: 8 a.m. to 5 p.m.

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