Tennessee Department of Health Forms

This form is used for obtaining a certificate of divorce or annulment in the state of Tennessee. It is an official document that proves the legal dissolution of a marriage.

This Form is used for applying to become a licensed veterinarian in the state of Tennessee.

This form is used for requesting a duplicate or replacement driver's license in the state of Tennessee.

This document provides guidelines and requirements for reporting convictions of physicians in the state of Tennessee. It outlines the process and responsibilities for reporting any criminal convictions of medical professionals.

This form is used for inactivating a professional practice in the state of Tennessee.

This document is used to request an advisory ruling in the state of Tennessee. It is a formal way to seek guidance or clarification from the relevant authorities on a particular issue or situation.

This form is used for retirees who want to officially retire from practice in the state of Tennessee. It is an affidavit that confirms their retirement status.

This form is used for requesting inspection or duplication of records in the state of Tennessee.

This form is used for course providers to submit a statement of training upgrade for extended spine in Tennessee.

This document is used for verifying postgraduate medical training in the state of Tennessee.

This petition is used to request a declaratory order from the Tennessee Board of Medical Examiners.

This form is used for applying to register as a volunteer to provide health care services in Tennessee.

This form is used for verifying employment of nurse aides in the Nurse Aide Registry in Tennessee.

This Form is used for recording the enrollment details of students participating in a training program conducted at the Ambulance Service in Tennessee.

This form is used for conducting the initial review of ambulance services in the state of Tennessee. It helps ensure the quality and safety of ambulance services provided to the public.

This form is used for the 90-day Ambulance Service Review in Tennessee.

This form is used for conducting an audit of air ambulance services in the state of Tennessee. It ensures that the services provided meet the required standards and regulations.

This Form is used for spouses of military members in Tennessee to declare their eligibility for an expedited licensure process.

This form is used for military members in Tennessee who want to apply for expedited licensure process.

This Form is used for notifying changes to the ambulance fleet in the state of Tennessee.

This Form is used for supplementing the inspection of neonatal transport vehicles in Tennessee.

This form is used for recording the results of a vehicle mechanical inspection in the state of Tennessee. It is important for ensuring the safety and compliance of vehicles on the road.

This document is an invoice for student enrollment fees for a training conducted at the Ambulance Service in Tennessee.

This form is used for filing complaints or conducting investigations related to Emergency Medical Services (EMS) in the state of Tennessee.

This form is used for the initial review of an invalid service in Tennessee.

This Form is used for conducting an invalid service audit in the state of Tennessee.

This form is used for conducting a 90-day invalid service review in the state of Tennessee.

This Form is used for applying for an initial ambulance service license in the state of Tennessee.

This form is used for applying for an initial air ambulance service license in the state of Tennessee.

This form is used for initial invalid ambulance service license application in Tennessee.

This document is used for registering as a trading partner in the state of Tennessee.

This document establishes the general assurances required by the state of Tennessee. It outlines the assurances that must be provided by individuals, organizations, or entities receiving state funds or participating in state programs.

This form is used for applying to register a medical spa in the state of Tennessee.

This document is an application for obtaining professional liability insurance for Emergency Medical Services Medical Directors in Tennessee. It helps ensure that medical directors have coverage in case of any liability claims related to their professional duties in emergency medical services.

This document is a supplemental application for the position of Emergency Medical Director in the state of Tennessee. It includes additional information and questions specific to the role.

This document is used for officially retiring an EMS license from practice in Tennessee. It is an affidavit that must be completed and submitted to the relevant licensing authority in the state.

This Form is used for paying miscellaneous fees related to EMS services in the state of Tennessee.