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WebApplication for Home Care Organization Licensure ☐ Initial applicants, complete sections 1–10, 12, and 14–15 ... Made payable to: VIRGINIA DEPARTMENT OF HEALTH . CERTIFICATION ☐ I certify that I am authorized to submit this application and its attachments on behalf of the organization identified in Section 1. WebApplications: Applying for Initial Licensure or Change of Ownership Licensure Renewals OASIS Survey Reporting System (SRS) Program Information and Policies Home Health Care Agency Employee Drug Testing effective July 1, 2024 Registry changes effective January 14, 2008 gull associates old lyme ct
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WebClick here for the Skilled Home Health Services Application Non-medical Home Health Services Home health aide services Hands-on bathing or assistance with tub or shower. Assistance with dressing, toileting, and ambulation. Catheter care, but not insertion. Meal preparation, and feeding. Personal care services WebPlease type all responses in the application materials. Handwritten ... WebLICENSURE. § 601.11. Licensure process. (a) The application form for a license to operate a home health care agency shall be obtained from the Pennsylvania Department of Health, Division of Primary Care and Home Health Services, Post Office Box 90, Harrisburg, Pennsylvania 17108. gull attack in scarborough