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Office of Health Care AccessCertificate of Need Final Decision Applicants:River Valley ASC, LLC 45 Salem Turnpike Norwich, CT 06360 SCARiver Valley, LLC 569 Brookwood Village Suite 901 Birmingham,.

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This guide provides clear, step-by-step instructions for completing the CT DPH 17-32146-CON form online. Whether you are familiar with digital documentation or it's your first time, this guide is designed to assist all users.

Follow the steps to successfully fill out the form online.

  1. Press the ‘Get Form’ button to acquire the form and access it in your editor.
  2. Carefully read through the instructions provided on the form to familiarize yourself with its requirements before filling it out.
  3. Begin by entering the applicant information in the designated fields. Make sure to include the names and addresses of all involved parties as required.
  4. Fill in the docket number, project title, and brief description of the proposed transfer of ownership interest in the appropriate sections.
  5. Provide detailed answers to all questions regarding the procedural history, ensuring accurate dates and actions taken by the applicants.
  6. Document the findings of fact and conclusions of law in the specified area, ensuring that you support each assertion with appropriate evidence.
  7. Review the financial details section, including projected revenues and expenses, to ensure accuracy in fiscal projections.
  8. Final review: Check all entries for completeness and accuracy. Make necessary corrections and ensure all required fields are filled.
  9. Once you are satisfied with the entries, you can save your changes, download a copy, print the form, or share it as needed.

Complete the CT DPH 17-32146-CON form online today to facilitate your application process.

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