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PRINTED: 01/13/2016 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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01
To fill out the NC DHHS ConstrStatement of Need form, follow these steps:
02
Download the form from the official NC DHHS website.
03
Read the instructions carefully to understand the requirements and provide accurate information.
04
Begin by providing general project information, such as the project name, address, and contact details.
05
Fill out the section on the proposed project, including the type of facility, the services it will provide, and the estimated cost and timeline.
06
Provide details on the need for the project, including explaining the current demand, the population served, and any existing gaps in services.
07
Include information on the organization or entity responsible for the project, including its legal status, governing body, and financial resources.
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Attach any required supporting documents, such as financial statements, legal documentation, or project plans.
09
Review the completed form to ensure all information is accurate and complete.
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Submit the form by following the instructions provided, either by mail or electronically.
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Keep a copy of the submitted form for your records.

Who needs nc dhsr constrstatement of?

01
The NC DHHS ConstrStatement of Need is needed by organizations or entities planning to undertake healthcare-related construction projects in North Carolina.
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This includes healthcare facilities such as hospitals, nursing homes, clinics, and other similar institutions.
03
The constrstatement of need form helps the North Carolina Department of Health and Human Services (NC DHHS) assess and evaluate the need for the proposed project, ensuring that resources are allocated appropriately and that healthcare services are provided efficiently.
04
Any organization or entity planning a healthcare construction project in North Carolina is required to submit this form to obtain the necessary approvals and permissions.
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The nc dhsr constrstatement of is a form filed with the North Carolina Department of Health Service Regulation that provides information on construction projects.
Any entity or individual undertaking a construction project in North Carolina is required to file nc dhsr constrstatement of.
The nc dhsr constrstatement of form can be filled out online or submitted through mail with all relevant information about the construction project.
The purpose of nc dhsr constrstatement of is to ensure that construction projects in North Carolina comply with health and safety regulations.
The information that must be reported on nc dhsr constrstatement of includes details about the construction project, the parties involved, and compliance with health regulations.
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