Jump to Page Content.
Jump to Site Menu.
Jump to Secondary Menu.
KY Agencies
|
KY Services
Jump to Page Content.
Secondary Menu
About CHFS
|
Contact Us
|
Forms and Documents
Jump to Page Content.
Home
Entry
New Entry
Logging Items
A Matter of Balance Instructor Registry
Arthritis Program
Bingocize Certification
Board of Health Nominations
Boards and Commissions Application
Breast Cancer Research/Education Trust Fund
CHFS Boards and Commissions Application
Chronic Disease Self-Management Program
Coordinated School Health Team Registration
COVID-19 KY Lab Daily Report Access Request
Cultural Competency Questionnaire
DAIL Suggestions
DCBS Family Satisfaction
DCBS Process Modernization Survey
Diabetes Class Survey
Eleventh Grade Immunization Survey
First Steps EOB
Foster Youth Exit Survey
Health Facility Petition
K-12 COVID-19 School Self-Reporting Access Request
Kentucky Abortion-Inducing Drug Complaint Portal
Kentucky Health Promotion Program
Kentucky Radon Test Request Form
KHIE Input For EHR
Kindergarten Immunization Survey
KY COVID-19 Community Outreach Events
KY Diabetes Peer-Led Self-Management Program Application
Local Health Personnel Training
MCO Information Packet Requests
OHRM - Training Survey
OLD Exit Interview for Separating Employees
Osteoporosis Program- Local Health Department
PASSR Training
Physical Disability Services Satisfaction Survey
SAMHSA Grant Kickoff Meeting
Seventh Grade Immunization Survey
SUID Investigation Training Registration
TBI
Page Content
MCO Information Packet Requests Logging
Workflow Information
Workflow:
Initial Request
DMS Approved
HP Approved
Packets Printed
Order Complete
Notify:
*
Required Field
System Information
Logging Type:
45
Logging Item:
0
Create Date:
Requesting Office Information
DCBS County
Out of State
ADAIR
ALLEN
ANDERSON
BALLARD
BARREN
BATH
BELL
BOONE
BOURBON
BOYD
BOYLE
BRACKEN
BREATHITT
BRECKINRIDGE
BULLITT
BUTLER
CALDWELL
CALLOWAY
CAMPBELL
CARLISLE
CARROLL
CARTER
CASEY
CHRISTIAN
CLARK
CLAY
CLINTON
CRITTENDEN
CUMBERLAND
DAVIESS
EDMONSON
ELLIOTT
ESTILL
FAYETTE
FLEMING
FLOYD
FRANKLIN
FULTON
GALLATIN
GARRARD
GRANT
GRAVES
GRAYSON
GREEN
GREENUP
HANCOCK
HARDIN
HARLAN
HARRISON
HART
HENDERSON
HENRY
HICKMAN
HOPKINS
JACKSON
JEFFERSON
JESSAMINE
JOHNSON
KENTON
KNOTT
KNOX
LARUE
LAUREL
LAWRENCE
LEE
LESLIE
LETCHER
LEWIS
LINCOLN
LIVINGSTON
LOGAN
LYON
MADISON
MAGOFFIN
MARION
MARSHALL
MARTIN
MASON
MCCRACKEN
MCCREARY
MCLEAN
MEADE
MENIFEE
MERCER
METCALFE
MONROE
MONTGOMERY
MORGAN
MUHLENBERG
NELSON
NICHOLAS
OHIO
OLDHAM
OWEN
OWSLEY
PENDLETON
PERRY
PIKE
POWELL
PULASKI
ROBERTSON
ROCKCASTLE
ROWAN
RUSSELL
SCOTT
SHELBY
SIMPSON
SPENCER
TAYLOR
TODD
TRIGG
TRIMBLE
UNION
WARREN
WASHINGTON
WAYNE
WEBSTER
WHITLEY
WOLFE
WOODFORD
*
Required Field
DCBS Office Street Address
DCBS Office Street Address (2)
DCBS Office City
DCBS Office Zip Code
MCO Packets Requested
# of Packets Requested
DCBS Requestor
Full Name of Requester
Title of Requester
Jump to Site Menu