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Please type all responses in the application materials ...

Please type all responses in the application materials . applications must be mailed. Hand delivery is not Applicant; The following series of documents contain the application materials for a home health Agency. Please note that all questions must be answered, and all requested supporting documentation must be provided. If you fail to submit all requested information, the application materials will be mailed back to you. If your application is in accordance with Pennsylvania home health Agency rules and regulations, the Division of home health will issue you a license.

Application is made to operate a Home Health Agency in accordance with Chapter 8 of the Health Care Facility Act (35 P.S. §448.101 et. seq.). Application includes Initial Application Form with payment, Civil Rights Survey, Information requested of Health Care Providers

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