Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary

Psychiatric Residential Treatment Facilities (PRTF) Initial Licensure 

 The following forms and fees must be submitted to Health Standards Section:

Initial License Application Check List

1.  Initial application and non-refundable fee
2. Copy of approval letter of architectural facility plans from the Office of the State Fire Marshal (OSFM)
3. Copy of on-site inspection report with approval for occupancy by the Office of the State Fire Marshal
4. Copy of health inspection report with approval for occupancy from the Office of Public Health (OPH)
5. Copy of statewide criminal background checks on all individual owners with 5% or more owner interest in the PRTF entity, and on all members of PRTF's board of directors, if applicable, and administrators;
6. Proof of financial viability, comprised of the following;
   a.  line of credit issued from a federally insured, licensed lending institution in the amount of at least $100,000
   b.  general professional liability insurance of at least $300,00; and
   c.  worker's compensation insurance
7. Floor sketch or drawing of the premises to be licensed
8. Disclosure of Ownership form