Application Forms

Last revised date: April 2, 2025

The Certificate of Need (CN) program is a regulatory process that requires certain healthcare providers to obtain state approval before building certain types of facilities or offering new or expanded services.

Program staff members offer technical assistance (TA) to assist with the application process. Use our online form to request a TA meeting. Staff members are also available to help you determine if a Certificate of Need is necessary.

If you don't see a form for the type of project you are proposing contact program staff members.

Ambulatory surgical facility/center

• Ambulatory surgical facility/ambulatory surgical center exemption, updated November 2020 (PDF)
• Ambulatory surgical facility/ambulatory surgical center, updated June 2019 (PDF)

End stage renal disease or kidney dialysis (WAC 246-310-800 – 833)

• For special circumstances, updated December 2021 (PDF)
• For nonspecial circumstances, updated December 2021 (PDF)

Home health

• Home health, updated September 2021 (PDF)

Hospice

• Hospice, updated September 2021 (PDF)

Hospitals

• Acute care hospital, including addenda for hospital tertiary services, updated September 2020 (PDF)
• Acute hospital exemption (RCW 70.41) – Bed addition for psychiatric beds under RCW 70.38.260(2), updated November 2021 (PDF) valid through June 30, 2023
• Private psychiatric hospital exemption (RCW 71.12) – One-time 30-bed addition under RCW 70.38.260(3), updated November 2021 (PDF) valid through June 30, 2023 Psychiatric hospital exemption (RCW 71.12) – New 16-bed hospital under RCW 70.38.260(4), updated November 2021 (PDF) valid through June 30, 2023
• Hospital lease – July 2014 (PDF)
• Hospital purchase – July 2014 (PDF)

Nursing homes

• Alternative use/bed banking, updated February 2022 (PDF)
• Alternative use/bed banking extension (PDF)
• Bed conversion (PDF)
• Bed modification (PDF)
• Full facility closure/bed banking, updated February 2022 (PDF)
• Replacement authorization, updated February 2022 (PDF)
• Renovation authorization, updated February 2022 (PDF)
• Nursing home - full CN application (Excluding CCRC), updated June 2018 (PDF) 

Consultant Resource List for Certificate of Need Applications

Certificate of Need (CN) applications require a degree of detail to be complete. To support applicants, the Department of Health provides the following List of Consultants (PDF) as a helpful resource. 

Please note:

• This list is provided as a convenience and is not exhaustive of all consultants available in the area.

• Inclusion on the list does not imply endorsement by the Department of Health or the CN Program.

• Neither the Department of Health nor the CN program will be involved in any disputes or concerns related to a consultant’s performance.

Contact and connect

• CN program contact and mailing information
• To receive Certificate of Need information, subscribe for updates at the bottom of the page.