Home Services Division Licensure Applications and Forms

CMS - The Centers for Medicare and Medicaid Services Forms

Additional Assistance

Licensure Meetings

Special Announcements

All licensing fees must accompany the completed application form and be mailed to the following address: Financial Management-Receipting Unit, OSDH, PO Box 268823, Oklahoma City, OK 73126-8816, Failure to do so may result in a delay in the processing of your license application.

Frequently Asked Questions

Q: What if my application is incomplete?

A: The Home Services Division will work with you in order to facilitate a complete application. If the application is not complete and fails to meet all requirements for an initial survey, your application may be summarily dismissed.

Q: What is the purpose of the initial licensure on-site survey?
A: To determine if an agency meets the minimum requirements to receive a home care/ hospice or Companion Sitter license.

Q: What does it mean to have deficiencies cited at the initial licensure on-site survey?
A: A deficiency means that a minimum requirement was not met, and the agency would receive a written statement of deficiency report. The agency must provide a written plan of correction for review, in response to each cited deficiency.

Contact Information

Mailing Address:
Oklahoma State Department of Health
Medical Facilities Service
Attn: Home Services Division
123 Robert S. Kerr Ave., Ste 1702
Oklahoma City, OK 73102-6406

Physical Address:
Oklahoma State Department of Health
123 Robert S. Kerr Ave.
Okalhoma City, OK 73102

Telephone: (405) 426-8470
Fax: (405) 900-7559
Email: medicalfacilities@health.ok.gov

Mailing Address:
Oklahoma State Department of Health
123 Robert S. Kerr Ave., Suite 1702
Oklahoma City, OK 73102-6406

Physical Address:
Oklahoma State Department of Health
123 Robert S. Kerr Ave.
Oklahoma City, OK

Office hours:
8 a.m. to 5 p.m., CST, Monday through Friday
Closed on all state holidays