Licensure/Registration Index Page

Hospice Licensure

This page contains information and forms required to make application to operate as a licensed "Hospice" in the State of Minnesota (Effective 9/26/04). These forms are intended for use as reference. They can be downloaded and completed by individuals and organizations seeking to acquire an initial license.

Please do not use these forms to renew a current license. Currently licensed providers will receive separate notification and instructions for licensure renewal from the Department of Health. If you are unsure this is the correct license for your business or have questions, please contact the Licensing and Certification Program at 651-201-4101 or e-mail health.fpc-licensing@state.mn.us to obtain additional clarification.


Required Forms and Documents. Please read and understand all applicable documents, statutes and rules list below before making application for this license.
Required Documents  
License Application (pdf:68k/10 pages)  
A Guide to Hospice Care Services (pdf:31k/8 pages)  
Hospice Bill of Rights (pdf:22k/3 pages)  
Background Studies for New Owners (pdf:277k/4 pages)  
Related Statutes and Rules.
Minnesota Statutes
Minnesota Rules Chapter 4664
(pdf:367kb:147pages)
This is a very large file and may take a while to download. This file is best viewed with Adobe Reader Version 6 or newer.

Order a copy of the Hospice Licensure Laws from Minnesota's Bookstore



Link to Adobe Acrobat Reader To view the PDF files, you will need Adobe Acrobat Reader (free download from Adobe's website).

Thursday, 05-May-2011 14:13:16 CDT