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Home Care Administrator Registry Rules, Laws, Forms, and Information

Home Care Administrator Application for Deemed Status, ODH Form 775

Application for Home Care Administrator Provisional Certificate, ODH Form 772

Home Care Administrator Certificate Application by Completion of the OHCAPA, ODH Form 773 

Home Care Administrator Certificate Renewal, ODH Form 770

Request for Duplicate Certificate/Rules and Regulations, ODH Form 715

Affidavit of Lawful Presence by Person Making Application for Certificate, ODH Form 301

Home Care Administrator Registry Complaint, ODH Form 612


Contact Information

Home Care Administrator Registry
Oklahoma State Department of Health
123 Robert S. Kerr
Oklahoma City, OK 73102-6406
Phone: (405) 426-8150
Fax: (405) 900-7572

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