Applications/Forms

April 10, 2015
Licensing & certification packets, directories (hard copy or electronic) may be purchased from Health Standards Section.(rev 02/01/2011)
January 01, 2013
Health Unit appointment excuse form.
October 11, 2012
To obtain CLIA certification for laboratory testing in the state of Louisiana, you must complete the Clinical Laboratory Improvement Amendments (CLIA) Application for Certification, Form CMS-116 along with the List of Tests Performed in the Facility. Both forms are required in order to approve your facility for testing.
March 30, 2011
Effective July 1, 2010 the Louisiana Department of Health and Hospitals, Health Standards Section will license Adult Residential Care Providers.
March 29, 2011
Application and rule for providers who desire to apply for Facility Need Review approval for license to operate a home and community based service (PCA, SIL, Respite).
February 01, 2011