Single Bed Cert Rules and Forms

 

These forms are provided as reference only. It is recommended that the version/edition of these forms be verified as the latest version prior to sending for approval. Single bed certification on forms other than the latest revision will not be accepted by the state hospital.

These forms were last verified May 2021.

Downloads

 

Western State Hospital Single Bed Certification (SBC):


Eastern State Hospital Single Bed Certification (SBC):


No-Bed Report Form: