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CABINET FOR HEALTH SERVICES DEPARTMENT OF PUBLIC HEALTH DFS 200 (Rev. 7-01) Reset Form Print Form APPLICATION FOR PERMIT/LICENSE TO OPERATE A FACILITY PROFILE Permit/License Fee Date Paid Inspection
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DFS-200 is a form utilized by the Kentucky Cabinet for Health and Family Services to report certain information related to individuals and entities that provide specific services.
Organizations and individuals who provide designated health and family services in Kentucky may be required to file the DFS-200 form as part of compliance and regulatory requirements.
To fill out the DFS-200 form, individuals must provide accurate and complete information as requested on the form, including details about their services, operations, and applicable identifying information.
The purpose of the DFS-200 form is to ensure that the Kentucky Cabinet has the necessary information for monitoring and regulating service providers within the health and family services sector.
The information that must be reported on the DFS-200 form may include provider details, types of services offered, operational addresses, and any relevant compliance or regulatory information.
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