MEDICAL/CLINIC DIRECTOR INFORMATION
DEFINITIONS AND RESPONSIBILITIES: [Click here]
IMPORTANT INFORMATION:
- A licensed health care clinic may not operate or be maintained without the day-to-day supervision of a single medical or clinic director. Failure by a clinic to employ a qualified medical director or clinic director constitutes a ground for emergency suspension of the license by the agency.
- A clinic may not hire a new employee until a final Level 2 background screening determination of “Eligible” has been made or the individual is “Not Eligible” but has been granted an Exemption from Disqualification from the Agency or the Department of Health (if seeking employment in a position that requires professional licensure or certification through the Department). For more information regarding background screening, please see the Agency’s background screening website at: http://ahca.myflorida.com/MCHQ/Long_Term_Care/Background_Screening/index.shtml.
- You must report a change of medical or clinic director to the agency within 21 calendar days from the effective date of the change, as required by s. 408.810 (3)(a), F.S.
HOW TO CHANGE A MEDICAL OR CLINIC DIRECTOR:
- Complete and submit sections 1, 2, 8 and 10 of the Health Care Licensing Application, Health Care Clinic, AHCA Form 3110-0013, Revised
- A copy of the practitioner’s current, active license issued by the Florida Department of Health.
- A copy of the practitioner’s Level 2 background screening results through the Agency for Health Care Administration. Write the complete Social Security Number of the new Director on the copy of the screening results. [The SSN# is required to verify the Level 2 background screening & is not disclosed as a public record.]
- A copy of the new Director’s contract or medical director agreement with the health care clinic.
- A copy of the previous Director’s letter of resignation to the Clinic or; a copy of the Clinic’s letter of termination to the previous Director
- A copy of the facility’s current health care clinic license.
