Incident Report & 6-108 Transfer Forms

About this opportunity

Discharge Transfer or Relocation 6-108 Form - DOH Notice of Discharge Transfer or Relocation Form (Allow a few seconds for form to load on webpage) 6-108 Letter - Cover Letter to Nursing Home Providers [PDF] Appeal Rights Form [PDF] Request for Hearing Form [PDF] Incident Report Incident Report Form (Allow a few seconds for form to load on webpage) Contact Phone: (877) 672-2174Contact Fax: (202) 727-8471Contact TTY: 711Office Hours: Processing Center: M-F: 9 am-1 pm, W: 9 am-3:30 pm; Office Hours M-F: 8:15 am-4:45 pmService Location: Health, Department of GIS Address: 2201 Shannon Place SECity: WashingtonState: DCZip: 20020