DOH Form 260-002 Nursing Home Alternative Bed Banking Conversion Notice - Washington

DOH Form 260-002 Nursing Home Alternative Bed Banking Conversion Notice - Washington

What Is DOH Form 260-002?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOH Form 260-002?A: DOH Form 260-002 is a Nursing Home Alternative Bed Banking Conversion Notice.

Q: What is the purpose of DOH Form 260-002?A: The purpose of DOH Form 260-002 is to notify the Washington Department of Health about the conversion of a nursing home bed to an alternative bed type.

Q: Who needs to fill out DOH Form 260-002?A: The nursing home that is converting a bed to an alternative bed type needs to fill out DOH Form 260-002.

Q: What information is required on DOH Form 260-002?A: DOH Form 260-002 requires information such as the facility name, address, bed number, alternative bed type, effective date of conversion, and signature of the facility representative.

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Form Details:

  • Released on May 1, 2012;
  • The latest edition provided by the Washington State Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DOH Form 260-002 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 260-002 Nursing Home Alternative Bed Banking Conversion Notice - Washington

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