Form preview

Get the free Health Center Program Look-Alike (LAL) Initial Designation (ID ... - cms leoncountyfl

Get Form
Application/ Designation DateAccount Numberless NameFirst Telephone NumberAddressZip Colette DwellingCertified Income Eligible TargetDate Work Project Description Performed03/17/14 06/05/14 01/14/15585424 587034 585429Gurley Higgins Richardson
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign health center program look-alike

Edit
Edit your health center program look-alike form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your health center program look-alike form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing health center program look-alike online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to take advantage of the professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit health center program look-alike. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out health center program look-alike

Illustration

How to fill out health center program look-alike

01
Gather all necessary information and documentation required for the health center program look-alike application.
02
Research the specific requirements and guidelines for the program to ensure you are meeting all criteria.
03
Complete the application form accurately and honestly, providing all requested information.
04
Submit the application along with any required supporting documents within the specified deadline.
05
Follow up with the program administrators if needed and respond promptly to any requests for additional information.
06
Await notification of acceptance or denial into the health center program look-alike.

Who needs health center program look-alike?

01
Community health centers or clinics seeking to become designated as look-alikes of federal health centers.
02
Healthcare providers looking to expand their services to underserved populations.
03
Organizations committed to improving access to healthcare for vulnerable or disadvantaged communities.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.7
Satisfied
56 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

You may do so effortlessly with pdfFiller's iOS and Android apps, which are available in the Apple Store and Google Play Store, respectively. You may also obtain the program from our website: https://edit-pdf-ios-android.pdffiller.com/. Open the application, sign in, and begin editing health center program look-alike right away.
You can quickly make and fill out legal forms with the help of the pdfFiller app on your phone. Complete and sign health center program look-alike and other documents on your mobile device using the application. If you want to learn more about how the PDF editor works, go to pdfFiller.com.
No, you can't. With the pdfFiller app for iOS, you can edit, share, and sign health center program look-alike right away. At the Apple Store, you can buy and install it in a matter of seconds. The app is free, but you will need to set up an account if you want to buy a subscription or start a free trial.
A health center program look-alike is an entity that provides primary health services to medically underserved populations, similar to a federally qualified health center (FQHC) but does not receive federal funding under Section 330 of the Public Health Service Act.
Health center program look-alikes are required to file if they want to be recognized as providing primary health services to underserved populations.
To fill out health center program look-alike status, organizations should submit an application to the Health Resources and Services Administration (HRSA) and meet specific criteria related to services provided and populations served.
The purpose of health center program look-alike designation is to expand access to primary care services for underserved populations by recognizing entities that meet specific requirements.
Information that must be reported includes details on the services provided, populations served, governance structure, and compliance with certain federal regulations.
Fill out your health center program look-alike online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.