Healthcare Facility Construction
Forms and Information
(If you have difficulty downloading a form, contact a construction engineer at 307-777-7123, and request that the form be e-mailed to you.)
Design Professional Seals for Deferred Plan Submittals (Policy C-027): PDF
Fire Alarm System Record of Completion (HLS/Con-106): Word PDF
Guidelines for an Acceptable Plan of Correction (HLS/Con-108): PDF
Healthcare Facility Final Plan Review Application(HLS/Con-110): Word PDF
Healthcare Facility Request for Variance (HLS/Con-119): Word PDF
Healthcare Facility Request for Final Inspection (HLS/Con-111): Word PDF
Infection Control Risk Assessment (ICRA) (HLS/Con-114): Word PDF
Waiver Criteria for Construction Plan Reviews (Policy C-016): PDF
Forms and Policies: Third-Party Plan Review and Inspection
Healthcare facility owners have the option of either utilizing the Department or an approved third-party plan reviewer and/or interim inspector (at the facility’s expense). Facilities are not required to utilize third-party plan reviewers and/or interim inspectors. If a facility chooses to have the Department conduct their plan review and/or interim inspections, these will be prioritized by order of receipt in the Healthcare Licensing and Surveys office.
Plan Review and Inspection (Policy C-007): PDF
Registered Third-Party Reviewers and Inspectors (HLS/Con-117): PDF
Sample Third-Party Contract (HLS/Con-113): Word PDF
Third-Party Healthcare Facility Application (HLS/Con-112): Word PDF
Third-Party Plan Reviewer/Inspector Application (HLS/Con-102): Word PDF
Application Instructions (HLS/Con-102-Ins): PDF
FTP Account Instructions (HLS/Con-107): PDF
Jurisdiction
Some Wyoming municipalities have requested jurisdiction over healthcare facility construction. Whenever possible, these requests, which apply only to final plan reviews and inspections related to the International Building Codes, have been granted. The option to use a third-party reviewer and/or interim inspector does not apply in those jurisdictions. The Department will continue to review and approve all preliminary plan submissions. In addition, the Department will continue to perform all final licensure and Life Safety Code inspections. Click here for a PDF list of jurisdictions delegated plan review and inspection responsibilities.
Rules and Regulations
Chapter 3, Construction Rules and Regulations for Healthcare Facilities (effective 04-03-08)
Guidelines to the Chapter 3, Construction Rules and Regulations for Healthcare Facilities
Chapter 21, Procedures for Informal Conference on Appeal of Agency Decision and Procedures for Formal Administrative Hearings on Appeal of Agency Decision (effective 09-07-10)