Licensure Applications
Application for License for Adult Care Home
Application for License for Ambulatory Surgical Treatment Center
Application for License for Assisted-Care Living Facility
Application for Certification for Home for the Aged/ACLF Administrator
Application for License for Birthing Centers
Application for End Stage Renal Dialysis Clinics
Application for License for HIV Supportive Living
Application for License for Home for Aged
Application for License for Home Health Agency
Application for License for Home Medical Equipment Provider
Application for License for Hospice
Application for License for Hospital
Application for License for Nursing Home
Application for Outpatient Diagnostic Treatment Center License
Application for License for Prescribed Child Care Center
Application for Professional Support Services Provider License
Application for License for Residential Hospice
Application for Traumatic Brain Injury (TBI) Residential Home
CHOW Application for Adult Care Home
CHOW Application for Ambulatory Surgical Treatment Center
Holdiing Place
CHOW Application for Birthing Center
CHOW Application for End Stage Renal Dialysis Clinics
CHOW Application for HIV Supportive Living Facility
CHOW Application for Home for Aged
CHOW Application for Home Health Agency
CHOW Application for Home Medical Equipment Provider
Holding Place
Holding Place
CHOW Application for Outpatient Diagnostic Center
CHOW Application for Prescribed Child Care Center
CHOW Application for Professional Support Services
CHOW Application for Residential Hospice
CHOW Application for Traumatic Brain Injury (TBI) Residential Home
Renewal Application for License for Adult Care Home
Renewal Application for License for Ambulatory Surgical Treatment Center
Renewal Application for License for Assisted Care Living Facility
Renewal Application for Certification for ACLF/RHA Administrator
Renewal Application for License for Birthing Centers
Renewal Application for License for End Stage Renal Dialysis Clinics
Renewal Application for License for HIV Supportive Living Facility
Renewal Application for License for Home for Aged
Renewal Application for License for Home Health Agency
Renewal Application for License for Home Medical Equipment Provider
Renewal Application for License for Hospice
Renewal Application for License for Hospital
Renewal Application for License for Nursing Home
Renewal Application for License for Outpatient Diagnostic Treatment Center
Renewal Application for License for Prescribed Emergency Child Care Center
Renewal Application for License for Professional Support Services Provider
Renewal Application for License for Residential Hospice
Renewal Application for License for Traumatic Brain Injury (TBI) Residential Home
Complaint/Investigation Intake Report
**Please see the HFC Filing a Complaint page for further information on how to submit your complaint.
Trauma Center Application (PH-4209)
**Please see the Trauma Page for further information**