Rhode Island Department of Health Forms

This form is used for requesting a variance or extension for hospice and skilled nursing services in Rhode Island.

This Form is used for submitting entries to the Age One Champion competition in Rhode Island.

This document is an application for a dairy business permit for selling frozen desserts in Rhode Island. It is specifically for those who want to engage in in-state or out-of-state wholesale distribution of frozen desserts.

This document is used to apply for permission to operate an Emergency Medical Services (EMS) training institution in the state of Rhode Island.

This document is used for applying for a clinical laboratory in the state of Rhode Island. It includes the necessary forms and requirements for starting a clinical laboratory in the state.

This document for Ordenes Medicas Para Tratamiento Y Prolongacion De La Vida (MOLST) in Rhode Island. It provides medical orders for treatment and life prolongation.

This document is used for stating a person's preferences about medical treatment at the end of life in Rhode Island. It helps ensure that healthcare providers honor the individual's wishes regarding life-sustaining treatment.

This document is an application for a variance from the public drinking water regulations in Rhode Island. It is used when an individual or organization needs an exemption or an exception from certain water regulations.

This document provides guidelines for responding to emergencies in transient non-community public water systems in the state of Rhode Island. It outlines steps and measures to be taken in order to ensure the safety and continuity of water supply during unforeseen events.

This document is used to certify the emergency response plan for transient non-community public water systems in Rhode Island. It ensures that these systems are prepared to respond to emergencies and protect the public's access to safe drinking water.

This document certifies the emergency response plan for public water systems in Rhode Island that serve both non-transient non-community and community areas. It ensures that these systems have a plan in place to effectively respond to emergency situations related to water supply.

This form is used for applying to work as a radon worker in Rhode Island. It includes important information about the applicant's qualifications and certifications.

This form is used for individuals in Rhode Island to apply for the position of Radon Supervisor.

This document is an application form for individuals who wish to pursue a Doctor of Acupuncture and Oriental Medicine degree in Rhode Island.

This Form is used for reporting natural disaster incidents affecting drinking water quality in Rhode Island.

This form is used for referring individuals to the Community Health Network Program in Rhode Island.

This document is for conducting a Level 1 Assessment in Rhode Island. It is used to evaluate various aspects of a property's environmental conditions and potential risks.

This document is used for requesting cremation of gifted bodies or body parts in Rhode Island.

This form is used for obtaining consent to perform drug facilitated sexual assault testing in Rhode Island. It ensures that the victim's consent is obtained before performing any tests related to the assault.

This form is used for obtaining a certificate for cremation in the state of Rhode Island.

This form is used for obtaining release assurances in Rhode Island. It ensures that parties involved in a legal agreement are released from certain liabilities.

This Form is used for requesting data from Kidsnet in the state of Rhode Island.

This form is used to grant permission to share information with Kidsnet, a program in Rhode Island that provides services to children.

This document is used to authorize the release of information to Kidsnet in Rhode Island.

This document is a confidentiality agreement specifically designed for Kidsnet in Rhode Island. It outlines the rules and expectations for keeping information confidential within the organization.

This form is used for parents in Rhode Island to provide necessary information for obtaining their child's birth certificate.

This document is a sample attestation form that is used in Rhode Island for children to return to child care or camp. It is designed to ensure the safety and well-being of the children attending these programs.

This document is for individuals who want to obtain a pharmacy license in the state of Rhode Island through reciprocity. It allows pharmacists who are licensed in another state to apply for a license without having to complete the full licensing requirements.