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State Health Planning & Development Agency

Hawaii State Department of Health

Ka ʻOihana Olakino
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Home » Certificate of Need » Blank Application Forms

Blank Application Forms

PDF Format:

  • Standard
  • Administrative
  • Application Fee Calculation Page

Word Format:

  • Standard
  • Administrative
  • Application Fee Calculation Page

CONTACT

State Health Planning and Development Agency
1177 Alakea Street, #402
Honolulu, HI 96813
Phone: (808) 587-0788
Fax: (808) 587-0783
Hours: 7:45 a.m. to 4:30 p.m., M-F

CERTIFICATE-OF-NEED

Applications and Decisions

Blank Application Forms

HEALTH CARE UTILIZATION REPORTS

2021 Data
2020 Data
2019 Data
2018 Data
More

For providers submitting utilization data, please click here for 2022 Health Care Utilization Survey Instructions and Forms

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