Home Services Division's Licensure Applications and Forms:
Application Guidance Letters:
Home Care Application Guidance
ODH-758 Application for Initial Home Care Branch
Hospice Application Forms:
ODH-924 Application for License to operate a Hospice. (56k.pdf)
ODH-659 Application for Hospice Alternative Administrative Office. (50k.pdf)
CMS (The Centers for Medicare & Medicaid Services) Forms:
CMS Forms for Home Health 2017
CMS Forms for Hospice 2017
OSDH - Medical Facilities Service
Attn: Home Services Division
1000 NE 10th Street
Oklahoma City, OK 73117-1299
Frequently Asked Questions
A: The Home Services Division will work with you in order to facilitate a complete application. If the application is not complete and fails to meet all requirements for an initial survey, your application may be summarily dismissed.
Q: What is the purpose of the initial licensure on-site survey?
A: To determine if an agency meets the minimum requirements to receive a home care/ hospice or Companion Sitter license.
Q: What does it mean to have deficiencies cited at the initial licensure on-site survey?
A: A deficiency means that a minimum requirement was not met, and the agency would receive a written statement of deficiency report. The agency must provide a written plan of correction for review, in response to each cited deficiency.