Arizona Department of Health Services Arizona Department of Health Services Arizona Department of Health Services
Kathy McCanna, Program Manager
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Contact Us:

Division of Licensing
150 N. 18th Avenue,
Suite 450
Phoenix, AZ 85007
(602) 364-3030
(602) 364-4764 Fax

Division of Licensing Services  
Office of Medical Facilities Licensing

The Division of Licensing Services Office of Medical Facilities Licensing licenses and certifies medical health care institutions and providers of medical services to protect the public's health and safety and assure quality customer service through teamwork in a timely, efficient and responsive maner.


Facility Information

Listing of Arizona Medical Facilities: Hospitals, Outpatient Surgical Centers, Outpatient Treatment Clinics, Medicare Certified/State Licensed Home Health Agencies, End Stage Renal Disease Centers, Outpatient Physical Therapy/Speech Pathology Centers, Comprehensive Outpatient Rehab Facilities, Hospices, Portable X-Ray, Rural Health Clinics.
In downloadable formats
 
Training/Licensing
 Abortion Services License and Amended License for Abortion Services
 Temporary License
 Temporary License Toolkit:
  1. Initial License Application and feesPDF
  2. Attestation StatementPDF
  3. Outpatient Treatment Center GuidePDF
 Initial and Renewal Applications and Forms
 
Consumer Information
 Having Surgery? What You Should Know Before You Go
 Hospital TipsPDF
 Arizona Association for Health CareExcel
 
Enforcement/Complaints

ADHS Enforcement Actions

 Complaint Form
 
Rules/Regulations
 Code of Federal Regulations:  Requirements for Medicare certification (Title 42-Public Health)
 Centers for Medicare & Medicaid Services (CMS)- State Operations Manual
 Arizona Department of Health Services Office of Administrative Rules
 Arizona Revised Statutes: (Title 36 - Public Health and Safety)
 Arizona Administrative Code: State Requirements for Licensing
 Arizona Administrative Code: R9-1-412  Physical Plant Health and Safety Codes and Standards
Provider Information/ Forms
 Licensed Facilities Reporting Requirements
 ASC/ESRD Disaster Plan - Emergency Contacts TemplatePDF
 Winter Storm FAQs for HospitalsPDF
 FAQs for Surging Capacity IssuesPDF
 H1N1 Hospital FAQs
 Hospital Pediatric Services FAQsPDF
 Presentation on Emergency Preparedness WaiversPDF
 Presentation on Effective Use of Existing Licensed Healthcare Infrastructure During a Crisis or CatastrophePDF
 Presentation on Survey Process For Facility ReoccupationPDF
 Arizona Statement of Citizenship and Alien Status
 EMTs Practicing in Hospitals - Substantive Policy Statement
 Fingerprinting FAQs PDF
 Fingerprint Substantive PolicyPDF
 Top Deficiencies for Medical Facilities
 Outpatient Facility Information 
 Zoning Authority ClearancePDF
 Additional Information Needed for Home Health AgencyPDF
 Additional Information Needed for Hospice Agency
 Recovery Care Center Information
 Application for Single Group LicensurePDF
 Medical Specialties and SubspecialtiesPDF
 Licensed CapacityPDF

Adult Protective Services: Filing an Abuse/Neglect/ Exploitation Report

 Adult Protective Services Appeal Process And RegistryPDF

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