Georgia Department of Community Health Forms

This Form is used for managing vendors in the Peoplesoft Financial System in the state of Georgia, United States.

This Form is used for reporting incidents related to alcohol, drugs, and personal conduct in the state of Georgia, United States.

This Form is used for reporting self information related to drug abuse and treatment programs in the state of Georgia. It is specifically designed for individuals seeking treatment and education programs for narcotics in Georgia.

This form is used for required End Stage Renal Disease (ESRD) self-reports in the state of Georgia, United States.

This type of document is used for hospital self-reports of events or incidents in Georgia, United States. It helps hospitals keep track of and address any significant events or incidents that occur within their facility.

This form is used for submitting payment invoices for certified medication aide services in Georgia, United States.

This document is a post-test for individuals in the state of Georgia who have end-stage renal disease (ESRD). It is used to evaluate their knowledge and understanding of ESRD and related topics.

This document is used for the physician's medical evaluation required for admission to assisted living facilities in Georgia, United States.

This form is used for requesting a waiver of the application fee due to financial hardship in the state of Georgia, United States. It is for individuals who are unable to afford the fee for their application.

This form is used for managing vendors in Teamworks. It is specific to Georgia, United States.

This document is used for submitting laboratory self reports in the state of Georgia, United States.

This form is used for reporting incidents related to X-ray procedures in the state of Georgia, United States.

This Form is used to create a personnel list for the state of Georgia in the United States. It is used to keep track of employees and their information for HR purposes.

This document is used for transmitting plans related to the DCH (Department of Community Health) in Georgia.

This document is used for authorizing someone to make medical decisions on your behalf in the state of Georgia, United States.

This form is used for Georgia residents to submit consumer complaints or report unfair business practices to Georgia Watch, a nonprofit consumer advocacy organization in Georgia.

This document is used for healthcare providers in Georgia to request an extended repayment schedule for outstanding debts.

This Form is used for making referrals under the Money Follows the Person program in the state of Georgia.