Form DHHS226-D Clinic Application for Renewal - North Carolina

Form DHHS226-D Clinic Application for Renewal - North Carolina

What Is Form DHHS226-D?

This is a legal form that was released by the North Carolina Department of Health and Human Services - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the form DHHS226-D?
A: DHHS226-D is a clinic application for renewal in North Carolina.

Q: Who needs to fill out the DHHS226-D form?
A: Clinics in North Carolina that need to renew their application need to fill out DHHS226-D form.

Q: What is the purpose of the DHHS226-D form?
A: The purpose of the DHHS226-D form is to renew clinic applications in North Carolina.

Q: What information is required on the DHHS226-D form?
A: The DHHS226-D form requires information such as clinic name, address, contact information, services provided, and licensing details.

Q: When is the deadline to submit the DHHS226-D form?
A: The deadline to submit the DHHS226-D form for renewal may vary, so it's best to check with the North Carolina Department of Health and Human Services for specific deadlines.

Q: Are there any fees associated with the DHHS226-D form?
A: Yes, there may be fees associated with the DHHS226-D form. For detailed information, you should refer to the North Carolina Department of Health and Human Services.

Q: What is the consequence of not renewing the clinic application using the DHHS226-D form?
A: If the clinic application is not renewed using the DHHS226-D form, the clinic may lose its license to operate in North Carolina.

ADVERTISEMENT

Form Details:

  • The latest edition provided by the North Carolina 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 DHHS226-D by clicking the link below or browse more documents and templates provided by the North Carolina Department of Health and Human Services.

Download Form DHHS226-D Clinic Application for Renewal - North Carolina

4.8 of 5 (14 votes)
  • Form DHHS226-D Clinic Application for Renewal - North Carolina

    1

  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 2

    2

  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 3

    3

  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 4

    4

  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 5

    5

  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 1
  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 2
  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 3
  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 4
  • Form DHHS226-D Clinic Application for Renewal - North Carolina, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT

Related Documents