Application for Relicensure for Hospice

Renewal Information

The North Dakota Department of Health and Human Services, Health Facilities Unit license expires each annual year on December 31st. Please review the online renewal and correct any inaccurate information, so that our database can be updated with your most current information.

Renewal Form Signatures

There will only be 1 required signature on the application.

Financial Statement

Please have a financial statement for the current fiscal year ready to be uploaded into the renewal form as this is required.

Renewal Approval Process

Once you have submitted the renewal form, it will be sent for approval. Once the renewal form has been reviewed and approved, the contact for the facility will receive an email letting them know it has been approved. The facility may then go to the website and print an updated license. The license will reflect the updated expiration date.