Rhode Island Department of Health Forms

This document is for individuals in Rhode Island who want to obtain a license as a certified midwife, certified nurse midwife, or certified professional midwife.

This document is a medical action plan for managing asthma ordered by a healthcare provider in Rhode Island.

This Form is used for applying for a License as a Medication Aide in the state of Rhode Island.

This form is used for applying for a license as an Advanced Practice Registered Nurse (APRN) in Rhode Island.

This document is an application form used to apply for a license as a nursing assistant in the state of Rhode Island. It is required for individuals who wish to work as nursing assistants in healthcare facilities.

This document is for individuals who want to apply for a license as a nursing home administrator in Rhode Island.

This document is used for transferring patients between acute care facilities in Rhode Island while ensuring continuity of care.

This form is used for requesting a consultation or referral for continuity of care in Rhode Island.

This document provides a report on a 5-day investigation of a nursing facility in Rhode Island. It includes information on the facility's compliance with regulations and any findings of deficiencies or violations.

This document provides information about the staffing requirements for nursing homes in Rhode Island. It outlines the guidelines and regulations for hiring and maintaining a skilled and sufficient staff to ensure quality care for residents.

This document is for certified nursing facilities in Rhode Island. It provides information on the required reporting that these facilities must adhere to.

This document is used for the discharge or transfer of a patient in Rhode Island. It ensures the continuity of care for the patient.

This document is for nursing facility required reporting for licensed-only facilities in Rhode Island. It provides information on the reporting requirements that nursing facilities in Rhode Island need to follow.

This document is used to apply for registration for continuing care in the state of Rhode Island.

This document is used to report the termination of a pharmacist-in-charge in Rhode Island. It is a required form for regulatory purposes.

This Form is used for applying for a license as an Optometrist with a specialization in Glaucoma in Rhode Island.

This document is used for verifying the internship hours completed by a preceptor in the state of Rhode Island.

This Form is used for applying for a license to practice pharmacy by examination for pharmacists in Rhode Island.

This document is an application for a temporary 90-day license to practice pharmacy in Rhode Island through license transfer.

This document is for individuals seeking a limited license as a pharmacy intern in the state of Rhode Island. It is used to apply for the intern position and demonstrates the individual's qualifications and commitment to working in a pharmacy setting.

This document is for individuals applying for a nonresident pharmacy license and controlled substances registration in the state of Rhode Island.

This type of document is an application for a non-resident pharmacy license in Canada, specifically for the state of Rhode Island. It is used by pharmacies located outside of Canada to obtain a license to operate in Rhode Island.

This document is an application for obtaining a pharmacy institutional license and controlled substances registration in the state of Rhode Island.

This document is used for applying for a Distributor License and Controlled Substances Registration in Rhode Island.

This type of document is used for applying for a licensing application for a phlebotomy station in Rhode Island.

This document is used for applying for a retail pharmacy license and controlled substances registration in Rhode Island. The form is necessary for pharmacies to legally operate and handle controlled substances.

This document is an application to obtain a license as a Physician Assistant in the state of Rhode Island.

This type of document is used for applying for a volunteer license in Rhode Island.

This form is used for referring individuals to a program in Rhode Island.

This Form is used for requesting an exemption from immunization requirements in Rhode Island for children attending public and private daycare, preschool, school, and college.

This type of document is used to exempt a student from immunization requirements for religious reasons in public and private daycares, preschools, schools, and colleges in Rhode Island.

This document is an application form for individuals seeking licensure as a limited podiatrist in Rhode Island.

This document is an application form to become a licensed water sampler or water interpreter in Rhode Island. It allows individuals to apply for the necessary license to perform these types of tasks in the state.

This document notifies residents of Rhode Island about the emergency replacement of components in the public drinking water system.