Welcome to the State of California 

Applications for Licensing and/or Certification of a Health Facility

The following application forms and documents are organized by the facility type. In addition to the listed documents, a check made payable to the “California Department of Public Health” for the applicable licensing fee must accompany the required forms before your application can be processed. Please submit all documents to the Centralized Applications Unit and not your local District Office as indicated on the checklists. The checklists are undergoing revisions at this time and the website will be updated as soon as these revisions are made.

Licensing Fees:

Adult Day Health Center:

Affiliate Primary Care Clinic:

Chronic Dialysis Clinic (End Stage Renal Dialysis):

Congregate Living Health Facility (CLHF):

General Acute Care Hospital:

Home Health Agency:

Hospice:

Intermediate Care Facilities for the Developmentally Disabled:

Management Company - Hospital:

Management Company - Skilled Nursing Facility or Intermediate Care Facility:

Primary Care Clinics:

Rural Health Clinics (Non-Urbanized Area):

Skilled Nursing Facilities or Intermediate Care Facilities:

 
 
Last modified on: 3/30/2017 11:24 AM