Phcp license: Fill out & sign online

Here's how it works

01. Edit your phcp license online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send private home care provider licensure packet via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out PRIVATE HOME CARE PROVIDER LICENSURE PACKET This ... - dch georgia with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by filling out Section A: Identification. Provide your business name, address, and contact information accurately.
In Section B, select the type of ownership and provide details about the governing body and ownership information in Section C.
Complete Section D by listing the geographic service area where you will operate your home care services.
Move to Section E and specify how staffing will be provided for nursing and personal care services.
In Section F, indicate the full-time equivalent staff available for each category of service offered.
Ensure all required documents are attached as per the checklist provided in the application packet before submission.

Utilize our platform to streamline your document editing and ensure a smooth application process for your Private Home Care Provider license!

See more PRIVATE HOME CARE PROVIDER LICENSURE PACKET This ... - dch georgia versions

We've got more versions of the PRIVATE HOME CARE PROVIDER LICENSURE PACKET This ... - dch georgia form. Select the right PRIVATE HOME CARE PROVIDER LICENSURE PACKET This ... - dch georgia version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2013	4 Satisfied (33 Votes)
2009	4.8 Satisfied (43 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

How do I become a private home care provider in Georgia?

Pursuant to 111-8-65-. 05(1), no private home care provider shall operate without a license or provisional license issued by the Georgia Department of Community Health. There are a few services that are exempt from the requirement to obtain a PHCP license from the Department.

Do you need a license to be a caregiver in GA?

As of March 2025, the average starting cost of a home care in Atlanta, GA is $19.69 per hour. The weekly rate for a home care in Atlanta, GA is $788 for working a 40-hour week. And the monthly cost is approximately $2,560 for 130 hours of work.

How much does private home care cost in Georgia?

Private home care providers offer skilled nursing care (not covered by Medicare but still requiring doctors orders), personal care assistance, and companion/sitter services for extended periods.

georgia private home care provider application

private home care provider license georgia how to become a private home care provider rules and regulations for private home care providers private home care provider policies and procedures pdf private home care provider rules, regulations georgia how to become a private home care provider in georgia private home care provider georgia what is a private home care provider