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235709

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This form is used for submitting a Certificate of Need application for facilities and services that fall under the requirements outlined in N.J.A.C. 8:33-5.1(A) in New Jersey.

This Form is used for providing consent for rapid testing in New Jersey. It is used specifically for confidential testing purposes.

This document is used for applying for a Certificate of Need for hospital-related projects in New Jersey.

This form is used for applying for a Reciprocal Lead Permit in New Jersey.

This form is used for applying for a Lead Permit Inspector/Risk Assessor position in New Jersey.

This form is used for requesting verification of lead licensure status with New York State if you are licensed in New Jersey.

This form is used for reporting any infections or injuries related to body art procedures in the state of New Jersey.

This Form is used for determining the daily staffing requirements in the Emergency Department of healthcare facilities in New Jersey.

This document is for conducting pre-screening tests in laboratories in New Jersey. The HIP-5 Laboratory Pre-screening Worksheet is used to ensure the safety and accuracy of laboratory operations.

This form is used for reporting the annual immunization status of college students in New Jersey.

This Form is used for providers to enter into a new agreement for adult sites in New Jersey.

This document is used for screening patient eligibility for the Vfc Program in New Jersey, specifically for vaccines for children. It helps determine if a patient is eligible for free vaccines under this program.

This Form is used for enrolling new providers for adult sites in New Jersey.

This form is used for pediatric sites in New Jersey to establish a new provider agreement.

This Form is used for applying for a certified yellow fever uniform stamp if you are in New Jersey.

This Form is used for notifying the Yellow Fever Vaccine Program in New Jersey about any changes that need to be made.

This form is used for requesting testing of suspected pathogens of public health significance in New Jersey. It also includes a chain of custody to ensure proper handling and tracking of the samples.

This document is for Spanish-speaking participants in the Workshop for Disease Self-Management Program in New Jersey. It is a questionnaire to assess the participants' health status before the workshop.

This Form is used for applying to sponsor a continuing education program for licensed nursing home administrators in New Jersey.

This form is used for requesting a meeting with the Commissioner in the state of New Jersey.

This Form is used for health care providers in New Jersey to report occupational and environmental diseases, injuries, or poisonings.

This form is used for creating a worksheet that lists hazardous chemicals in New Jersey. The OCC-40 form helps individuals or businesses document and maintain a record of chemicals that may pose a risk to health or the environment.

This form is used for providing information about the current medical staffing at a practice site in New Jersey.

This document is an attachment to Form OPSP-2B and provides an inventory of health care resources in New Jersey. It includes information on hospitals, clinics, and other health care facilities in the state.

This Form is used for reporting and surveying physicians participating in the J-1 Visa Waiver/State Conrad 30 Program for Primary Care in New Jersey.

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