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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FA-16A
for the current year.
Form FA-16A Home Health Agency - Intermittent Services - Nevada
What Is Form FA-16A?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form FA-16A?
A: Form FA-16A is a form for home health agencies in Nevada to apply for a license to provide intermittent services.
Q: What are home health agency intermittent services?
A: Intermittent services refer to healthcare services provided on a sporadic or as-needed basis in a patient's home.
Q: Who can apply for a license using Form FA-16A?
A: Home health agencies in Nevada can apply for a license using Form FA-16A if they wish to provide intermittent services.
Form Details:
- Released on December 28, 2018;
- The latest edition provided by the Nevada Department of Health and Human Services;
- 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 fillable version of Form FA-16A by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Form FA-16A Home Health Agency - Intermittent Services - Nevada
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