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HEALTH CARE FACILITY LICENSING AND CERTIFICATION

General Acute Care Hospitals and Acute Psychiatric Hospitals

Change of Director of Nursing

Required Documents

Online Application PDF Form

  • Embedded and generated by online system

Facility Director of Nursing

  • Resume for the Director of Nursing

Helpful Tip

  • Submit the application under the main facility.

    • ​Specify if the request is for the main or distinct part (D/P) facility.

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