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Health Facilities Administration


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Form List

Form
Document used for application, enrollment, registration or eligibility determination purposes.
 
Effective Date      Title - Owner - Description
04/16/2008  Licensing Application for Supported Residential Care and Residential Care Facilities - Bureau of Health Facilities Administration - Send complete application package and fees to NH DHHS, Office of Program Support Bureau of Health Facilities Administration,  129 Pleasant Street, Concord, NH  03301-3857
12/18/2007  Licensing Application Laboratories and Collecting Stations - Office of Operations Support Bureau of Health Facilities Administration - Licensing Application for Laboratories and Collecting Stations and related documents.
09/04/2007  Application for Licensing a New Health Care Facility - Bureau of Health Facilities Administration - Required to be completed and submitted to the Bureau of Health Facilities Administration for licensing a residential care or health facility.
02/11/2004  Resident Assessment Tool - Office of Program Support Bureau of Health Facilities Administration - Tool to assess the needs of residents in Assisted Living Facilities. 
01/13/2004  Application for Change in Ownership of a Health Care Facility - Bureau of Health Facilities Administration - Required to be completed and submitted to the Bureau of Health Facilities Administration for licensing a change in ownership of a residential care or health facility.
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