Loading
Get Dhhs Dhsr Nhlc Form No 7005
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Dhhs Dhsr Nhlc Form No 7005 online
Filling out the Dhhs Dhsr Nhlc Form No 7005 online is a straightforward process that ensures efficient communication of personnel changes within healthcare facilities. This guide provides step-by-step instructions to help you navigate each section of the form with ease.
Follow the steps to complete the form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the first section titled 'Administration', provide the name of the previous Administrator followed by the name of the new Administrator, including their full first name, middle initial, last name, and suffix. Don't forget to enter the date they were hired as Administrator and their N.C. License Number.
- Proceed to the 'Nursing' section, where you will enter the name of the previous Director of Nursing along with the name of the new Director of Nursing. Similar to the previous section, include their full first name, middle initial, last name, and the date they were hired as D.O.N., along with their license number.
- In the 'Personnel Name Change' section, notify DHHS of an individual name change by filling in the former name and the current name for both the Administrator and D.O.N., ensuring to include their full first name, middle initial, last name, and suffix.
- Review all the information entered for accuracy before finalizing. Ensure all fields are completed as required.
- Upon completion, save the changes, and you can download, print, or share the form as needed.
Complete your documents online to ensure timely processing and compliance.
The NC Department of Health and Human Services (DHHS) manages health services and programs that ensure the welfare of North Carolinians. Their responsibilities include overseeing public health, social services, and nursing home regulations, including form management like the Dhhs Dhsr Nhlc Form No 7005. They play a vital role in maintaining the health and safety of our communities.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.