Medical Care Facilities

Medical Care Facilities include hospitals and ambulatory surgical centers. Hospital Long Term Care Units are Regulated by the Kansas Department of Aging and Disability Services.

Application Forms

• Medical Care Facility Licensure Instructions and Application (PDF)

Ambulatory Surgery Center (ASC) Survey Forms

Birthing Centers

• Kansas Laws and Regulations of Licensing Birth Centers (PDF)

Change Forms

The forms below are available and processed through the Kansas Department for Aging and Disability Services (KDADS) - please see the Kansas Department for Aging and Disability Services website:

• Request to Change Use of a Required Room (for KDHE regulated long term care units of hospitals)
• Request to Change Bed Capacity and/or Location (for KDHE regulated long term care units of hospitals)

Risk Management KDHE Medical Care Facilities

Please send all Risk Management paperwork to either:
Risk Management Mailbox or the Risk Management Program Fax Number: (785) 559-4285

Risk Management Reporting Forms

• Confidential Quarterly Report Form New Item (PDF)
• Facility or Individual Report of Adverse Finding New Item (PDF)

Risk Management Resources for Survey Preparation

• KDHE Risk Management Plan Checklist (PDF)
• BHF Regulations for ASC, Hospitals and Risk Management
• Risk Management Statutes and Regulations (PDF)
• Risk Management Sample Plan - Updated 4/25/22 (PDF)