Certificate of Need Applications and Forms

The following links provide access to forms that can be downloaded and completed using Microsoft Word 97 or a later version. To save a form to your computer, right-click the form link (Control-click on Macintosh) and choose "Save Target As..." and save to your computer. The specific command may differ based on your browser and operating system). You can then open the saved form, fill-in the requested information, print and submit the form. Specific requirements regarding submitting the forms can be found on each form. These requirements must be followed exactly.

Georgia CON Application Form - Revised 7/15/2008

Additional Information Form - Updated 9/20/2006

Amendment Request Form - Updated 9/20/2006

Opposition Form - Updated 9/20/2006 (Applies to pre July 1, 2008 CON Applications)

Notice of Opposition Form - 10/6/2008 (Applies to post July 1, 2008 CON Applications)

CON Request for Determination Form - Revised 4/14/2009 (Now includes Exhibit 5 for Therapeutic Cardiac Catheterization Exemption Requests)

Equipment Letter of Non-Reviewability Form - Revised 7/15/2008

CON Performance Extension Request - 11/2/2009