Michigan Department of Health and Human Services

Adult-Services-Application DHS-390

The Adult Services Application (Form DHS-390) is a document provided by the Michigan Department of Health and Human Services (MDHHS) for adults seeking support services. This application helps individuals request assistance with daily living needs, placement options, or other community resources to maintain safety and independence.

Michigan Department of Health and Human Services

Medical Needs Form (DHS-54A)

The Medical Needs Form (DHS-54A) is issued by the Michigan Department of Health and Human Services (MDHHS). It is used to document an individual’s medical conditions, care requirements, and the type of support they need in daily life. This form must be completed annually by a licensed healthcare provider, such as a physician, nurse practitioner, or therapist.