2019 Hospital Licensure Renewal Form Available

The 2019 Hospital Licensure Renewal Form has been issued by the NC Division of Health Service Regulation (DHSR). The Division has also provided a WORD version of the form for internal use in gathering data. It is downloadable on NCHA’s website here. Note that the original hard copy that was mailed to your institution must be completed and returned to the DHSR.

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North Carolina Healthcare Association

2400 Weston Parkway
Cary, NC 27513

Main: 919-677-2400
Fax: 919-677-4200

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