The forms required for submission of an application packer for the licensure of a new or existing program are:

  1. Application Checklist pdf format of Application Checklist
doc format of                             Application Checklist                (required form)
  2. Suitability Form pdf format of Suitability Form
doc format of                             Suitability Form                (required form)
  3. Program Capacity Form pdf format of Program Capacity Form
doc format of                             Program Capacity Form                (required form)
  4. Clinical Information and Attestation Form pdf format of Clinical Information and Attestation Form
docx format of                             Clinical Information and Attestation Form                (required)
  5. HCFRS Enrollment Forms:

Programs must include additional documentation as required or applicable as indicated on the Application Checklist.