DOH Form 505-102 Ambulatory Surgical Facility License Application - Washington

What Is DOH Form 505-102?

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

FAQ

Q: What is the DOH Form 505-102?
A: The DOH Form 505-102 is an Ambulatory Surgical Facility License Application for Washington.

Q: What is an Ambulatory Surgical Facility?
A: An Ambulatory Surgical Facility is a healthcare facility where surgical procedures are performed on an outpatient basis.

Q: Who needs to complete the DOH Form 505-102?
A: Any Ambulatory Surgical Facility in Washington that is seeking or renewing their license needs to complete this form.

Q: What information is required in the DOH Form 505-102?
A: The form requires information about the facility, its staff, equipment, and services provided.

Q: How do I submit the DOH Form 505-102?
A: The form can be submitted electronically or by mail to the Washington State DOH.

Q: Are there any fees associated with the DOH Form 505-102?
A: Yes, there are licensing fees that need to be paid when submitting the form.

Q: Is the DOH Form 505-102 specific to Washington state?
A: Yes, this form is specifically for Ambulatory Surgical Facilities in Washington state.

Q: Can I use the DOH Form 505-102 for other types of healthcare facilities?
A: No, this form is specifically for Ambulatory Surgical Facilities and cannot be used for other types of healthcare facilities.

Q: What is the purpose of the Ambulatory Surgical Facility License?
A: The license ensures that the facility meets the necessary standards to provide safe and effective surgical care to patients.