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 7/26/2012

Revised CON Review Thresholds- Posted 7/25/2012


APPLICATION FORMS - PDF Format

Instructions for CON Permit Application Form - Revised May 2010
CON Permit Application Form - Revised May 2010

Application for Exemption from Certificate of Need Review and Permit Requirements

Application for Exemption — Change of Ownership for an Existing Health Care Facility

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
Questions or Comments