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Health Clinics
Change Notification

Change of Ownership or Location

A change of ownership (sale, whether of stock, title or assets, lease, discontinuance of operations) or premises terminates the license.  An initial pdf iconapplication is required.

The Department must be notified in writing within ten working days when a facility is sold, leased, discontinued or moved to a new location.

New Construction

If new construction is planned, construction plans must be submitted for Department approval prior to any new construction affecting patient care portions of the health clinic. The Department may accept certification from an architect or engineer in lieu of Department review.

Change of Administrator

The Department must be notified in writing within 5 working days when:

  • a vacancy in the administrator position occurs including who will be responsible for the position duties until another administrator is appointed.
  • the vacancy of the administrator position is filled including the effective date and name of the person appointed.

Change of Facility Name

The Department must be notified in writing within 5 working days when a facility has a change in name. pdf iconName Change Form ( this form may be completed online but must be mailed in)

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