REGULATIONS
Vol. 37 Iss. 15 - March 15, 2021

TITLE 12. HEALTH
DEPARTMENT OF HEALTH
Chapter 381
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Title of Regulation: 12VAC5-381. Regulations for the Licensure of Home Care Organizations.

Agency Contact: Rebekah Allen, Senior Policy Analyst, Department of Health, 9960 Mayland Drive, Suite 401, Henrico, VA 23233, telephone (804) 367-2157, FAX (804) 527-4502, or email regulatorycomments@vdh.virginia.gov.

FORMS (12VAC5-381)

Application for Licensure, Home Care organizations, eff. 01/06.

Application for Home Care Organization Licensure (rev. 2/2021)

VA.R. Doc. No. R21-6619; Filed February 23, 2021