Discharge Transfer or Relocation
- 6-108 Form - DOH Notice of Discharge Transfer or Relocation Form (Allow a few seconds for form to load on webpage)
- 6-108 Letter - Cover Letter to Nursing Home Providers [PDF]
- Appeal Rights Form [PDF]
- Request for Hearing Form [PDF]
Incident Report
- Incident Report Form (Allow a few seconds for form to load on webpage)
Contact Phone:
(877) 672-2174
Contact Fax:
(202) 727-8471
Contact TTY:
711
Office Hours:
Processing Center: M-F: 9 am-1 pm, W: 9 am-3:30 pm; Office Hours M-F: 8:15 am-4:45 pm