Personal Care Services Agency Licensing Program
The Indiana Department of Health licenses agencies that provide (1) attendant care services; (2) homemaker services that assist with or perform household tasks, including housekeeping, shopping, laundry, meal planning and preparation, and cleaning; and (3) companion services that provide fellowship, care, and protection for a client, including transportation, letter writing, mail reading, and escort services that are provided to a client at the client's residence.
Report a Complaint or Incident to the IDOH
Report a complaint regarding a health care facility
Individuals can call or email to make complaints about care provided at any licensed or certified Indiana health care providers or suppliers.
Report an incident regarding a health care facility
The Incident Report Form is for health care facilities to notify the Indiana Department of Health of a reportable incident pursuant to the IDOH Reportable Unusual Occurrence Policy. The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations. This form is not to be used to file a complaint.
Change Forms and Application
- Applying for Initial Licensure, License Renewal, or Change of Ownership
- Administrator, Manager, and Officer Change Form
- Agency Address (Physical/Mailing), Email, Phone, or Fax Change Form
- Agency Closure Form
- Change of Name (Doing Business As) Form
- Change of Agency Name (Legal Entity) Form
- Branch Changes Form
- Office hours Changes
- Stock Transfer
Contact the Program
| Indiana Department of Health
Division of Home and Community Based Care
2 North Meridian Street, 4A
Indianapolis, IN 46204
|IDOH Main Switchboard: 317-233-1325
Clerical Assistant: 317-233-7510