Primary Health Care
Click on a program type below.
Ambulatory Surgical Center (ASC) Application Forms
Clinical Laboratory and Related Applications
Community Mental Health Center (CMHC) Applications
Comprehensive Outpatient Rehab Facility (CORF) Application
Drug Abuse Treatment and Education Programs (DATEP)
End Stage Renal Dialysis Clinics (ESRD)
Home Health Agency (HHA) Applications and Related Documents
Home Maintenance Organization (HMO)
Hospice Applications and Related Documents
Hospital Applications and Related Documents
Hospital Change of Ownership (CHOW)
Use these forms and documents only if you are undergoing a hospital Change of Ownership
Narcotic Treatment Center Application
Outpatient Physical Therapy (OPT) Application
Private Home Care Provider (PHCP) Applications and Related Documents
Rural Health Clinic (RHC) Application
SC09 Memo 37.02- Revised Appendix L, ASC Interpretive Guidelines
NEW!
SC09 Memo 37.03- ASC Infection Control Worksheet
NEW!
Traumatic Brain Injury (TBI) Center Application
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