Va. Admin. Code tit. 12, agency 5, ch. 215, pt. V, form FORMS (12VAC5-215)

Current through Register Vol. 41, No. 9, December 16, 2024

Form - FORMS (12VAC5-215)

Hospital Annual Historical Filing Form, 03-01, revised 4/30/96.

Ambulatory Surgical Hospital Annual Historical Filing Form, 03-02, revised 4/30/96.

Nursing Home Annual Historical Filing Form, 03-03, revised 4/30/96.

Income Statement Reconciliation Worksheet, 04-04, revised 4/30/96.

Psychiatric Hospital Annual Historical Filing Form, 03-05, revised 4/30/96.

Rehabilitation Hospital Annual Historical Filing Form, 03-06, revised 4/30/96.

Va. Admin. Code tit. 12, agency 5, ch. 215, pt. V, form FORMS (12VAC5-215)