Forms

Reporting Forms

• Health Care Facilities On-Line Reporting
• Fire Watch Procedure

Abortion Forms

• Informed Consent Form and Medical Emergency Abortion Form
  These forms are also referred to as Appendix A and B in the Abortion or Reproductive Health Centers Licensure Rules.
• Abortion Materials Order Form

Request for Proposals (RFP) Announcement

The Alabama Department of Public Health, Bureau of Health Provider Standards (HPS) is currently accepting proposals for organizations possessing the knowledge and ability to conduct surveys required to determine long term care facilities (LTCFs) and intermediate care facilities for individuals with an intellectual disability (ICFs/IID) compliance with federal rules and regulations. HPS conducts inspections of health care providers in Alabama as an agency contracted by the Centers for Medicare and Medicaid Services (CMS).

• Request for Proposals for Long-Term Care Surveys