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How to fill out the IL DPH 443086 online
Completing the IL DPH 443086 form is essential for project submissions in hospitals. This guide provides clear, step-by-step instructions to help users navigate each section of the form effectively.
Follow the steps to fill out the form accurately.
- Press the ‘Get Form’ button to access the form. Ensure that you download it for editing.
- Fill in the project identifying information. Enter the IDPH number, facility name, street address, city, state (IL), and ZIP code.
- Provide the project name and indicate if this project affects the facility's licensed bed count. If so, follow up with Health Facilities Services and Review Board.
- Specify if this is a phased occupancy project by selecting 'Yes' or 'No.' Attach an occupancy schedule if applicable.
- Select the type of project: new/replace facility, addition, PPS rehab unit, or others. Indicate the type of submission as needed.
- Submit a copy of any approved Certificate of Need (CON) along with its project number and approval date.
- Provide a functional program narrative that describes the project's purpose and facilities' objectives. Attach additional sheets if needed.
- Complete the systems program narrative that details all special systems related to the project.
- List estimated project costs including site preparation, demolition, construction contracts, and fixed capital equipment.
- Calculate the plan review fee based on the estimated project costs and adhere to the guidance provided regarding fee adjustments.
- Complete the contact information section for all relevant individuals and firms involved in the project.
- After completing the form, save your changes. You can download or print the form for your records or sharing.
Complete your documents online with confidence and ensure a smooth submission process.
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Public health initiatives help improve overall community wellness by preventing diseases and promoting healthy lifestyles. They address issues like vaccination, environmental health, and health education. Through agencies like IL DPH 443086, public health programs work towards reducing health disparities and ensuring everyone has access to necessary health services.
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