• Application for Plan Review - 8/16/07 

• General Information Regarding the Application for Plan Review - 2/14/06 

• BHS/HFS-31; Ionizing Radiation Rules Order Form (FILLABLE FORM) 

• BHS/HFS-32; X-Ray Supplier's Quarterly Report of Installations 

• BHS-HFS-100; Notice to Employees 

• BHS/HFS-101; Occupational External Radiation Exposure History 

• BHS/HFS-102; Current Occuptional External Radiation Exposure 

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

• BHS/HFS-865; Temporary Job Site Notification Form (FILLABLE FORM) 

• Appeal of a Notice of an Involuntary Transfer or Discharge (BHS-OPS-505) 

• BHS E-Mail Registration (Online Submission)

• BHS Health Facility Online Complaint Form

• Certificate of Appointment for Authorized Representative BHS-NHM-125 (fill-in form) 

• Change of Administrator or Director of Nursing BHS-NHM-110 (fill-in form) 

• Documentation Checklist: Process Guidelines for Medication Management and Reduction of Adverse Drug Reactions 

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

• Documentation: Implementation of Interim Guidelines for Bed Rail Use 

• Equipment and Device Safety Log 

• Example of an Pneumococcal Informed Consent 

• Facility Incident Report - 24 Hours (BHS-OPS-362) 

• Facility Incident Report-24 Hours (BHS-OPS-362) Online Submission

• Facility Information Sheet (BHS-NHM-271) 

• Facility Investigation Report - 5 Working Days (BHS-OPS-363) 

• Facility Investigation Report - 5 Working Days (BHS-OPS-363) 

• Facility Involuntary Transfer/Discharge Plan Checklist (BHS-OPS-512) 

• Facility Request to Accept Evidence of Deficiency Correction In Lieu of a Revisit Following a Complaint Survey 

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

• Home Dialysis Questionnaire 

• Informal Deficiency Resolution (IDR) Process 

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

• Informal Deficiency Resolution Request-Level 2 (BHS-108e) Fill-in Form 

• Interim Guidelines for Use of Bed Rails - Facility Checklist 

• Notice of an Involuntary Transfer or Discharge (Form BHS-OPS-502) 

• Nursing 5 Day Bed Rail Monitoring 

• Nursing Home License Application-Form BHS-NHM-101 (fill-in form) 

• Patient Surety Bond BHS-NHM-126 (fill-in form) 

• Request for change in number of Certified SNF and/or NF beds- BHS-NHM-102 (fill-in form) 

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

• Resident Bed Rail Consent Form BHS-NHM-104 (Fill in Form) 

• Change of Address (BHS-LC-004) 

• How to Apply and Prepare for Licensure to Operate a Substance Abuse Program in Michigan (9/06) 

• License Change of Information Form (BHS-LC-601) 

• Model Recipent Rights Policy and Procedures 

• Recipient Rights Complaint Form (BHS-LC-901) 

• Recipient Rights Investigation Report (BHS-LC-902)