• Resources
• LDH Resources

LDH Resources

• CMS 29 Form

  Details:

  December 30, 2025

  • Health Standards Resources

  VERIFICATION OF CLINIC DATA RURAL HEALTH CLINIC PROGRAM

  Downloadable Assets:

  CMS 29

• CMS 377 Form

  Details:

  December 29, 2025

  • Health Standards Resources

  Ambulatory Surgical Center Request for Initial Certification or Update of Certification 'Information in the Medicare Program

  Downloadable Assets:

  CMS 377 Form

• Adult Brain Injury Forms

  Details:

  December 29, 2025

  • Health Standards Resources

  Adult Brain Injury License Application

  Downloadable Assets:

  Adult Brain Injury License Application

• Notice of Parental Rights Form

  Details:

  December 17, 2025

  • Health Standards Resources

  Notice of Parental Rights Form

  Downloadable Assets:

  Notice of Parental Rights Form

• Nursing Home Regulatory Compliance History

  Details:

  March 21, 2025

  • Health Standards Resources

  Nursing Home Regulatory Compliance History

  Downloadable Assets:

  River Palms Nursing and Rehab, Orleans Parish River Palms Nursing and Rehab, Orleans Parish River Palms Nursing and Rehab, Orleans Parish South Lafourche Nursing and Rehab, Lafourche Parish South Lafourche Nursing and Rehab, Lafourche Parish South Lafourche Nursing and Rehab, Lafourche Parish South Lafourche Nursing and Rehab, Lafourche Parish Maison Orleans Healthcare Center, Orleans Parish Maison Orleans Healthcare Center, Orleans Parish Maison Orleans Healthcare Center, Orleans Parish Maison Orleans Healthcare Center, Orleans Parish Park Place Healthcare Nursing Home, Jefferson Parish Park Place Healthcare Nursing Home, Jefferson Parish Park Place Healthcare Nursing Home, Jefferson Parish West Jefferson Health Care Center, Jefferson Parish West Jefferson Health Care Center, Jefferson Parish West Jefferson Health Care Center, Jefferson Parish West Jefferson Health Care Center, Jefferson Parish Maison DeVille Nursing Home-Houma, Inc., Terrebonne Parish Maison DeVille Nursing Home-Houma, Inc., Terrebonne Parish Maison DeVille Nursing Home-Houma, Inc., Terrebonne Parish Maison DeVille Nursing Home-Houma, Inc., Terrebonne Parish Maison DeVille Nursing Home of Harvey, Jefferson Parish Maison DeVille Nursing Home of Harvey, Jefferson Parish Maison DeVille Nursing Home of Harvey, Jefferson Parish Maison DeVille Nursing Home of Harvey, Jefferson Parish

• Waiver Request for Facility Building/Construction

  Details:

  March 19, 2025

  • Health Standards Resources

  Waiver Request for Facility Building/Construction

  Downloadable Assets:

  Electronic Version Non-electronic Version

• Health Standards Section Forms

  Details:

  March 10, 2025

  • Health Standards Resources

  A web page dedicated to forms used by providers licensed by Louisiana Department of Health, Health Standards Section

  Downloadable Assets:

  HSS Key Personnel Change Form HSS Payment Transmittal Form HSS Change of Ownership Form HSS Application & Checklist for ASC DBA Name Changes