Health Facilities and Services Review Board
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Application Forms and Information



Certificate of Need or Exemption to Permit
Assessment of Applicability Checklist

Microsoft Word format - Revised July 2013

Revised CON Review Thresholds- Effective 7/1/2013

APPLICATION FORMS - PDF Format

CON Permit Application Form - Revised July 2013

Application for Exemption — Change of Ownership for an Existing Health Care Facility - Revised August 2013

Application for Exemption — Neonatal Intensive Care - Revised July 2013

Birth Center Application - Posted February 3, 2012 - MS Word format

Long-Term Care Facility Application - Revised August 3, 2012 - MS Word format




Illinois Health Facilities and Services Review Board
2nd Floor
525 West Jefferson Street
Springfield, Illinois 62761
Phone 217-782-3516
Fax 217-785-4111
TTY 800-547-0466
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