Licensure Renewal Applications for Facilities / Agencies
Complete the appropriate form to license or renew licensure for the following types of acute and outpatient facilities. Licensure requirements, fees and submission addresses are noted on each form.
- Adult Day Care Center Licensure Renewal Application
- Dialysis Center Licensure Renewal Application
- Free Standing Birthing Center
- Free-Standing Emergency Center
- Free-Standing Surgical Center
- Home Health Agency
- Hospice Licensure Renewal Application
- Hospital Licensure Renewal Application
- Office-Based Surgery Facilities – Dental Licensure Renewal Application
- Office-Based Surgery Facilities – Other Licensure Renewal Application
- Personal Assistance Services Agencies Licensure Renewal Application
- Prescribed Pediatric Extended Care Center Licensure Renewal Application
