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HFSRB
- Applications & Forms

Applications, Forms and Information

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Executive Order - Construction Activities in Special Flood Hazard Areas
Guidelines for Public Participation at Board Meetings
Sign-In Form for Public Participation at Board Meetings

Announcement Regarding Application Process - March 7, 2018

Announcement Regarding Normal Travel Time vs. Distance - March 14, 2018

Birth Center Application - MS Word
CON Application Form - Word format - Revised September 2018
CON Permit Application - County-owned Long-Term Care ONLY
Determination of Reviewability - 2017
Exemption Application Form - Change of Ownership - Revised October 2018
Exemption Application Form - Discontinuation - Revised August 2018
Exemption Application Form - Neonatal Intensive Care - Revised August 2018
Long-Term Care Facility Application - MS Word - Revised September 2018
Review Schedule for 2018 Board Meetings
Review Schedule for 2019 Board Meetings
Revised Threshholds for Project Review - 7/1/2018

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Illinois Health Facilities and Services Review Board
525 W. Jefferson St., Second Floor
Springfield, IL 62761
Phone: 217-782-3516
TTY: 800-547-0466
Fax: 217-785-4111

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