Form HEA5135 Health Care Facility Amended License Application - Ohio

What Is Form HEA5135?

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

FAQ

Q: What is the Form HEA5135?
A: Form HEA5135 is the Health Care FacilityAmended License Application for Ohio.

Q: What is the purpose of Form HEA5135?
A: The purpose of Form HEA5135 is to amend the existing license of a health care facility in Ohio.

Q: Who needs to fill out Form HEA5135?
A: Health care facilities in Ohio that need to make changes to their existing license must fill out Form HEA5135.

Q: What changes can be made using Form HEA5135?
A: Form HEA5135 can be used to make changes to the facility name, address, contact information, ownership, and other relevant details.

Q: Are there any fees associated with Form HEA5135?
A: Yes, there may be fees associated with submitting Form HEA5135. The specific fees depend on the type of change being made.

Q: Is it mandatory to submit Form HEA5135?
A: Yes, it is mandatory for health care facilities in Ohio to submit Form HEA5135 when making changes to their existing license.

Q: Are there any deadlines for submitting Form HEA5135?
A: The Ohio Department of Health recommends submitting Form HEA5135 at least 30 days before the proposed effective date of the change.