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  • Or In-home Care Agency License Application 2018

Get Or In-home Care Agency License Application 2018-2025

PUBLIC HEALTH DIVISION Health Care Regulation and Quality Improvement Section Health Facility Licensing and Certification Program healthoregon.org/hflcInHome Care Agency License Application Form Type.

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Initial applications for a license as a private home care provider must be submitted to the department on forms provided by the department, and shall include the submission of an application fee and a license fee established by the Board of Community Health, and a records check application for the owner.

To apply for an initial license to operate a home health agency complete the “APPLICATION FOR LICENSE TO OPERATE A HOME HEALTH AGENCY” (SF 4008) and submit with $250.00 licensure fee and other required information to the Indiana Department of Health. Submit all documentation requested on application.

To start your home care business, you will need to have an approved Certificate of Need Application and then apply for a home care license in Rhode Island. This license will require an application to be compiled and submitted to the Rhode Island Department of Health with a fee of $650.

To start your home care business, you will need to apply for your home care license in Oregon. This license is referred to as an In-Home Care Agency license. A home care license application will need to be compiled and sent to the State of Oregon with a fee of $2000-2500 depending on level.

The Healthcare Facility Regulation Division (HFRD) of the Department of Community Health (DCH) is responsible for licensing Private Home Care Providers under Georgia State Law. O.C.G.A. § 31-7-300 et seq. requires agencies to obtain a Georgia state license prior to providing Private Home Care Provider services.

Homemaker-companion agencies must be registered with the Department of Consumer Protection before engaging in business in Connecticut. In order for the Department to consider an application for a homemaker companion agency, a fully executed application, including registration fee must be received by the Department.

License Requirements A copy of your “certificate of completion” from the in-home services Orientation Class. ... Completed in-home services application (PDF), along with the initial licensing fee. Proof of current commercial general liability insurance ing to WAC 246-335-320(2)(b).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232