37 Pa. Code § 197.35
The following is the form of notice of appeal:
COMMONWEALTH OF PENNSYLVANIA
STATE HEALTH FACILITY HEARING BOARD

The provisions of this § 197.35 amended under section 805(b) of the Health Care Facilities Act (35 P. S. § 448.805(b)); and 2 Pa.C.S. § 102(a).
The provisions of this § 197.35 adopted May 1, 1981, effective May 2, 1981, 11 Pa.B. 1455; amended May 21, 1982, effective May 22, 1982, 12 Pa.B. 1642; amended August 19, 1983, effective August 20, 1983, 13 Pa.B. 2551. Immediately preceding text appears at serial pages (70909) and (70910).
This section cited in 37 Pa. Code § 197.15 (relating to recording of proceedings); and 37 Pa. Code § 197.34 (relating to notice of appeal).