Skip Navigation
LARA: Michigan Department of Licensing and Regulatory AffairsMichigan.gov: Official Web Site for the State of Michigan
Michigan.gov Home LARA Home |  Sitemap |  Contact LARA |  Press Releases |  Online Services
close print view
Mammography and X-ray

• BHCS-HFS-100; Notice to Employees PDF icon

• BHCS/HFS-101; Occupational External Radiation Exposure History PDF icon

• BHCS/HFS-102; Current Occuptional External Radiation Exposure PDF icon

• BHCS/HFS-31; Ionizing Radiation Rules Order Form (FILLABLE FORM) PDF icon

• BHCS/HFS-32; X-Ray Supplier's Quarterly Report of Installations PDF icon

• BHCS/HFS-852; Application for a Radiation Shielding Plan Review (FILLABLE FORM) PDF icon

• BHCS/HFS-865; Temporary Job Site Notification Form (FILLABLE FORM) PDF icon


Nursing Homes and Long Term Care

• Appeal of a Notice of an Involuntary Transfer or Discharge (BHS-LTC-505) PDF icon

• BHCS E-Mail Registration (Online Submission)

• Certificate of Appointment for Authorized Representative (BHS-LTC-125) (Fill In Form) PDF icon

• Change of Administrator or Director of Nursing (BHCS-LTC-110) (Fill In Form) PDF icon

• Documentation Checklist: Process Guideline for Evaluation of Falls/Fall Risk PDF icon

• Documentation: Implementation of Interim Guidelines for Bed Rail Use PDF icon

• Equipment and Device Safety Log PDF icon

• Facility Incident Report - 24 Hour Report (BHCS-LTC-362) Online Submission

• Facility Information Sheet (BHCS-LTC-271) PDF icon

• Facility Investigation Report - 5 Working Days (BHCS-LTC-363) Online Submission

• Facility Involuntary Transfer/Discharge Plan Checklist (BHCS-LTC-512) PDF icon

• Facility Request to Accept Evidence of Deficiency Correction In Lieu of a Revisit PDF icon

• Guidance in the Preparation of a Notice of an Involuntary Transfer or Discharge PDF icon

• Home Dialysis Questionnaire PDF icon

• Informal Deficiency Resolution (IDR) Process PDF icon

• Informal Deficiency Resolution Request-Level 2 (BHS-108) PDF icon

• Informal Deficiency Resolution Request-Level 2 (BHS-108e) (Fill In Form) PDF icon

• Interim Guidelines for Use of Bed Rails - Facility Checklist PDF icon

• Notice of an Involuntary Transfer or Discharge (BHCS-LTC-502) PDF icon

• Nursing 5 Day Bed Rail Monitoring PDF icon

• Nursing Home License Application Form (BHS-LTC-101) (Fill In Form) DOC icon

• Request for Change in Number of Certified SNF and/or NF Beds (BHCS-LTC-102) PDF icon

• Resident Assistance Form (Example and Instructions for Facilities Handling Complaints) PDF icon

• Resident Bed Rail Consent Form (BHS-NHM-104) (Fill In Form) PDF icon




QR code

Michigan.gov Home |  LARA Home |  State Web Sites |  Office of Regulatory Reinvention |  Spending & Accountability
Accessibility Policy |  Link Policy |  Privacy Policy |  Security Policy | Michigan News | Michigan.gov Survey


Copyright © 2001-2013 State of Michigan