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CONTINUING CARE PROVIDER - CONSOLIDATED APPLICATION FOR PROVISIONAL CERTIFICATE OF AUTHORITY AND CERTIFICATE OF AUTHORITY

ALL FORMS

CONSOLIDATED APPLICATION FOR PROVISIONAL CERTIFICATE OF AUTHORITY FOR A CONTINUING CARE PROVIDER

OIR-C1-2220

CONSOLIDATED APPLICATION FOR PROVISIONAL CERTIFICATE OF AUTHORITY FOR A CONTINUING CARE PROVIDER

OIR-C1-144

SERVICE OF PROCESS & AGREEMENT

OIR-C1-905

INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS

OIR-C1-938

FINGERPRINT CARD INSTRUCTIONS

OIR-C1-2221

MANAGEMENT INFORMATION FORM

OIR-C1-1423

BIOGRAPHICAL AFFIDAVIT