Get D-12 Tazewell County Dialysis, Pekin 12-052 - Illinois Health ... - Hfsrb Illinois

Filling out the D-12 Tazewell County Dialysis form online is a straightforward process. This comprehensive guide provides step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the D-12 Tazewell County Dialysis form online.

1. Press the ‘Get Form’ button to access the D-12 Tazewell County Dialysis form in your browser.
2. Begin with the 'Facility Name' section. Enter the full name of the facility, which is 'Tazewell County Dialysis'.
3. In the 'Type of Project' field, specify that this is a substantive project as indicated.
4. Next, input the 'Project Cost'. The original cost for this project is $1,685,119.
5. Complete the 'City' field by entering 'Pekin', as the facility is located there.
6. Provide the anticipated project completion date, which is set for December 31, 2015.
7. In the 'Project Description' section, summarize that DaVita Inc. and Pekin Dialysis, LLC are proposing to establish an 8-station ESRD facility in the designated leased space.
8. Continue to the compliance sections to verify that no outstanding compliance issues exist with the applicants.
9. Once all sections are filled out accurately, review the form for completeness and correctness before proceeding.
10. Finally, save any changes made, and consider downloading, printing, or sharing the completed form as required.

Start completing your D-12 Tazewell County Dialysis form online today for a smoother submission process.