Health Facility Regulation | Home Care Unit | Laboratory Licensure | Hospital & Outpatient Svcs | Health Care Clinic | Long-Term Care Unit | Assisted Living Unit | Emergency Resources

Applications for Health Care Clinic License

For initial license, complete all three (3) applications below:

License Application (AHCA FORM 3110-0013 - September 2013) [MS Word 574KB]
Application Addendum (AHCA FORM 3110-1024 - Aug 2010) [MS Word 127KB]
Proof of Financial Ability Form & Instructions (AHCA FORM 3100-0009 - July 2009) [MS Excel 360KB]

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