Maryland Nursing Referral Service Agency License Application
This file provides detailed instructions for applying for a nursing referral service agency license in Maryland. It includes required attachments, application determinations, and guidelines for submission. Essential for agencies seeking to comply with Maryland's healthcare regulations.
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How do I fill this out?
To complete this application, ensure that it is typed and all sections are filled out accurately. Attach all required documents to support your application. Once completed, submit your application through the OHCQ website's designated link.

How to fill out the Maryland Nursing Referral Service Agency License Application?
1
Download the application form and type your information.
2
Gather all required attachments, including policies and letters of good standing.
3
Verify that the application is complete and accurate.
4
Submit your application and attachments online via the OHCQ website.
5
Wait for a response regarding the status of your application.
Who needs the Maryland Nursing Referral Service Agency License Application?
1
Healthcare agencies looking to operate nursing referral services.
2
Business owners seeking to comply with Maryland state regulations.
3
Corporations expanding their healthcare-related services.
4
Entrepreneurs planning to establish a nursing referral service agency.
5
Existing nursing agencies undergoing change of ownership.
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What are the instructions for submitting this form?
To submit this application, ensure all sections are fully completed and required documents are attached. Submit your application through the OHCQ website using the online submission link. For any questions, you can contact OHCQ via their official communication channels for further assistance.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, it is advisable to stay updated on any specific dates announced by OHCQ related to nursing referral services. Ensure to check OHCQ's official website for application deadlines or any changes in the licensing process. Prepare your documents early to avoid any last-minute submissions.

What is the purpose of this form?
The purpose of this form is to ensure that nursing referral service agencies in Maryland comply with state health regulations prior to commencing operations. This application outlines the requirements necessary for obtaining a license, which is crucial for legal operation. It ensures that agencies meet the quality and compliance standards set by the Maryland Department of Health.

Tell me about this form and its components and fields line-by-line.

- 1. Type of Application: Indicates whether the application is for an initial license or a change of ownership.
- 2. Legal Name of Business: The official registered name of the entity applying for the license.
- 3. Doing Business As: Any trade name under which the business operates.
- 4. Contact Information: Includes phone, email, and address details for correspondence.
- 5. Description of Services: Details the type of nursing referral services the agency intends to provide.
- 6. Ownership Information: Details about the ownership structure of the business, such as sole proprietorship, LLC, etc.
What happens if I fail to submit this form?
If you fail to submit the application, you will not be able to legally operate a nursing referral service agency in Maryland. It's crucial to adhere to all requirements and deadlines to avoid any disruptions in your service establishment.
- Loss of Operating License: Operating without a valid license may result in legal penalties.
- Inability to Serve Clients: You will not be able to provide services without the necessary licensing.
- Potential Fines: Non-compliance with licensing regulations can incur fines.
How do I know when to use this form?

- 1. Starting a New Agency: Utilize this form to apply for initial licensing of a new nursing referral service.
- 2. Change of Ownership: Use this form when transferring ownership of an existing agency.
- 3. Renewal Procedures: Employ this form for any required renewals or updates to an existing license.
Frequently Asked Questions
How do I fill out the nursing referral service application?
Begin by downloading the application and filling it out completely. Make sure to gather all required supporting documents before submission.
What required attachments must be included with the application?
Attachments include your policies and procedures, letter of good standing, and proof of workers' compensation coverage.
How will I know if my application is approved?
You will receive a notification from the OHCQ once your application has been reviewed and assessed.
Can I edit my application after submission?
Once submitted, you cannot edit your application. You must wait for feedback and can then reapply if necessary.
Is there a fee to apply for the nursing referral license?
No, there is no fee to submit your nursing referral service agency application.
How long will it take to process my application?
The processing time may vary, so check the OHCQ website for estimated time frames.
What happens if my application is denied?
You will receive a detailed letter explaining the reason for denial and information on your appeal rights.
How can I contact OHCQ for questions about my application?
You can contact OHCQ via their official website or call their office directly during business hours.
What should I do if I need to withdraw my application?
You can withdraw your application at any time by notifying OHCQ in writing.
Are there specific requirements for a sole proprietorship?
Yes, sole proprietors must provide their name and contact information while ensuring all other sections are completed.
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