DHHS-AS-0016 Consent for Release of Information HW

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Categories: Adult Protective Services, Adult Services, Guardianship, Special Assistance in Home Case Management

Tags: Form

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Contact Information

NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000

Customer Service Center: 1-800-662-7030
Visit RelayNC for information about TTY services

Division of Budget and Analysis

2001 Mail Service Center
Raleigh, NC 27699-2001
919-855-4850