Department of Community Health

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.

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions