Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.
Attn: State Board of Health Facility Administrators
402 W Washington St, Room W072
Indianapolis, Indiana 46204
Tasha Coleman, Board Director
Crystal Smith, Assistant Board Director
Kathy Dishman, Case Manager
Staff Phone Number: 317-234-2051
Staff Email: pla6@pla.IN.gov
Applications and other documents found on these pages
are in Adobe Acrobat PDF format. If you do not have
Adobe Acrobat, you may download their free
reader at http://www.adobe.com/.
All HFA and RCA applicants must submit a criminal background check (CBC) prior to being approved to start an Administrator in Training Program (AIT). Any applicant seeking licensure by waiver of the AIT must submit the CBC prior to being licensed. For more information and instructions on the CBC click here. Out of state applicants please contact Inez Ford at 317-234-2717.