Donate to Hurricane Recovery

Please give to the North Carolina Disaster Relief Fund to help communities recover from Helene Donate Now

Information and Resources on Hurricane Helene

For North Carolina residents and visitors impacted by Hurricane Helene. Go Now

An official website of the State of North Carolina An official website of NC How you know

State Government websites value user privacy. To learn more, view our full privacy policy.

Secure websites use HTTPS certificates. A lock icon or https:// means you’ve safely connected to the official website.

Utility Menu

Main menu

Utility Menu

Pregnancy Risk Screening Form - English

PDF • 259.86 KB - December 21, 2022

Division/Office

First Published

December 21, 2022

Last Updated

December 21, 2022

NC Medicaid, Division of Health Benefits
2501 Mail Service Center
Raleigh, NC 27699-2501

NC Medicaid Contact Center
Phone: 888-245-0179

Monday-Friday 8 a.m. to 5 p.m.

Closed on State holidays.

Visit RelayNC for information about TTY services.