(a) An applicant for a license shall submit an application to the Secretary. (b) The application: (1) Shall be on the form that the Secretary requires; (2) Shall be signed and verified by the individual; and (3) Shall include: (i) The name of the applicant; (ii) A statement that the applicant meets the requirements of this subtitle; (iii) The location of the proposed hospice; (iv) The name of the individual who is to be the medical director of the hospice care program; and (v) Any other information that the Secretary requires.
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