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.
Q: What is DOH Form 260-002?
A: DOH Form 260-002 is a Nursing Home Alternative Bed Banking Conversion Notice.
Q: What is the purpose of DOH Form 260-002?
A: The purpose of DOH Form 260-002 is to notify the Washington Department of Health about the conversion of a nursing home bed to an alternative bed type.
Q: Who needs to fill out DOH Form 260-002?
A: The nursing home that is converting a bed to an alternative bed type needs to fill out DOH Form 260-002.
Q: What information is required on DOH Form 260-002?
A: DOH Form 260-002 requires information such as the facility name, address, bed number, alternative bed type, effective date of conversion, and signature of the facility representative.
Form Details:
Download a printable version of DOH Form 260-002 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.