This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 482-0662?
A: Form 482-0662 is the Freestanding Emergency Center (FEC) Initial Licensure Application specifically for Illinois.
Q: What is a Freestanding Emergency Center (FEC)?
A: A Freestanding Emergency Center (FEC) is a medical facility that provides emergency medical care outside of a hospital setting.
Q: What is the purpose of the FEC Initial Licensure Application?
A: The purpose of the FEC Initial Licensure Application is to apply for a license to operate a Freestanding Emergency Center in Illinois.
Q: Who should fill out this application?
A: Any individual or organization planning to operate a Freestanding Emergency Center in Illinois should fill out this application.
Form Details:
Download a fillable version of Form 482-0662 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.