• BHCS-HFS-100; Notice to Employees 

• BHCS/HFS-101; Occupational External Radiation Exposure History 

• BHCS/HFS-102; Current Occuptional External Radiation Exposure 

• BHCS/HFS-31; Ionizing Radiation Rules Order Form (FILLABLE FORM) 

• BHCS/HFS-32; X-Ray Supplier's Quarterly Report of Installations 

• BHCS/HFS-852; Application for a Radiation Shielding Plan Review (FILLABLE FORM) 

• BHCS/HFS-865; Temporary Job Site Notification Form (FILLABLE FORM) 

• Appeal of a Notice of an Involuntary Transfer or Discharge (BHCS-LTC-505) 

• BHCS Long Term Care E-Mail Registration (Online Submission)

• Certificate of Appointment for Authorized Representative (BHCS-LTC-125) 

• Change of Administrator or Director of Nursing (BHCS-LTC-110) 

• Documentation Checklist: Process Guideline for Evaluation of Falls/Fall Risk 

• Documentation: Implementation of Interim Guidelines for Bed Rail Use 

• Equipment and Device Safety Log 

• Facility Incident Report - 24 Hour Report (BHCS-LTC-362) Online Submission

• Facility Information Sheet (BHCS-LTC-271) 

• Facility Investigation Report - 5 Working Days (BHCS-LTC-363) Online Submission

• Facility Involuntary Transfer/Discharge Plan Checklist (BHCS-LTC-512) 

• Facility Request to Accept Evidence of Deficiency Correction In Lieu of a Revisit 

• Guidance in the Preparation of a Notice of an Involuntary Transfer or Discharge 

• Home Dialysis Questionnaire 

• Informal Dispute Resolution (IDR) Request
(BHCS-108) 

• Interim Guidelines for Use of Bed Rails - Facility Checklist 

• Notice of an Involuntary Transfer or Discharge (BHCS-LTC-502) 

• Nursing 5 Day Bed Rail Monitoring 

• Nursing Home License Application Form (BHCS-LTC-101) 

• Request for Change in Number of Certified SNF and/or NF Beds (BHCS-LTC-102) 

• Resident Assistance Form (Example and Instructions for Facilities Handling Complaints) 

• Resident Bed Rail Consent Form (BHCS-LTC-104) (Fill In Form)