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Office of Health Professionals Regulation
The Board of Assisted Living Residence Administrators applications for licensure must be downloaded and printed. The completed form should be mailed to the address noted on the application. Forms will not be accepted via email or fax. All forms are in OPTION #1 - Download; Then Print and Complete the Entire Application Manually. Instructions and Application For License As A: OPTION #2 - Download and Complete Most of the Application "Online". Then Print and Complete Remainder of the Application Manually. Instructions for Completing "Online" Board of Assisted Living Residence Administrators License Applications READ FIRST! Instructions and Application For License As A: If you have trouble downloading this form please call (401) 222-5888 to have a copy of the application mailed to you. |
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| Rhode Island Department of Health • 3 Capitol Hill • Providence RI 02908 Voice: 1-800-942-7434 (out of state 401-222-5960) • Fax: 401-222-6548 • TTY: 711 • Contact Us A Rhode Island Government Website • © 1998–2009 |
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