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Form DOH-5191 Notification and Request for Approval of Unlicensed Acting Administrator - New York
What Is Form DOH-5191?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DOH-5191?
A: Form DOH-5191 is a Notification and Request for Approval of Unlicensed Acting Administrator in New York.
Q: What is the purpose of Form DOH-5191?
A: The purpose of Form DOH-5191 is to notify and request approval for an unlicensed acting administrator in a healthcare facility in New York.
Q: Who needs to fill out Form DOH-5191?
A: Healthcare facilities in New York that require an unlicensed individual to act as an administrator need to fill out Form DOH-5191.
Q: What information is required on Form DOH-5191?
A: Form DOH-5191 requires information about the healthcare facility, the acting administrator, and the reasons for the need for an unlicensed administrator.
Q: Is there a fee for filing Form DOH-5191?
A: There may be a fee associated with filing Form DOH-5191. Contact the relevant healthcare facility licensing agency for more information.
Q: What happens after submitting Form DOH-5191?
A: After submitting Form DOH-5191, the healthcare facility licensing agency will review the request and determine whether to approve or deny the request for an unlicensed acting administrator.
Form Details:
- Released on October 1, 2015;
- The latest edition provided by the New York State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DOH-5191 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
