Department of Community Health

State of Georgia

Official Website: https://dch.georgia.gov/

Forms & Documents

Browse all Department of Community Health government forms

1 - 20 of 64 forms

Form Title Topics
1095-B Initial Notification Letter Final Draft revisedaw09_2016-Fianl
Adult Day Center and Adult Day Health Service Application Packet 2024
ALC/CLA/PCH Incident Reporting Form
AMBULATORY SURGICAL TREATMENT CENTER APPLICATION
Application for Health Coverage & Help Paying Costs
Assisted Living Communities -- Posted 03/29/12
Assisted Living Community Application Packet
Attachment G -Tax Compliance Form
Atypical Antipsychotics Prior Authorization Request Form (Page 1 of 4)
Community Living Arrangement Application Packet 2022
Community Living Arrangement Application Packet 2024
Community Living Arrangements -- Posted 03/29/12
Community Mental Health Center
CON Additional Information Form - Updated 06/27/24
CON Amendment Request Form - Updated 06/28/24
CON Application Form - Updated 06/28/24
CON Batching Application Letter of Intent Form - Updated 06/27/24
CON Notice of Opposition Form - Updated 06/28/24
CON Performance Extension Request - Updated 06/28/24
Copy of Interim Provider Payment Request Form Template v1-pk-PSW EDITS edits-6-28-aug-30pk-FINAL.

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