IN ADDITION TO THE Application For Health Care Clinic Licensure (AHCA Form 3110-0013 JULY 06), LINKS BELOW, YOU MUST ALSO PREPARE AND SEND TWO SUPPLEMENTAL APPLICATIONS. THEY ARE Health Care Licensing Application, AND Addendum. THIS MAKES A TOTAL OF 3 APPLICATIONS THAT MUST BE SENT WITH EACH SUBMISSION.
Bureau of Health Facility Regulation Health Care Clinic Unit 2727 Mahan Drive - Mail Stop #53 Tallahassee, FL 32308 (850) 488-1365 / SC 278-1365 (850) 488-5897 / SC 278-5897 Fax
email: bellr@ahca.myflorida.com
HEALTH CARE CLINIC LICENSURE
IMPORTANT NOTICES AND ALERTS Health Care Clinic spreadsheet showing the length of time clinics have been continuously licensed as to May 1, 2008 New PIP (Auto Insurance) Regulation Health Care Licensing: General Provisions (Chapter 408, s. 408.801-408.832, F.S.) (2007 UPDATE) Health Care Clinic Act (Chapter 400, Part X, F.S.) (2007 UPDATE) Health Care Clinic Licensure Rules (Chapter 59A-33, FL. Administrative Code) Notice of Insurance Fraud Reward Sign Renewal Application Notice Change of Ownership Application Notice APPLICATIONS AND INSTRUCTIONS Health Care Clinic License Application Change of Ownership Renewal Name Change Address Change Certificate of Exemption From Licensure Application Change of Ownership Name Change Address Change Change of Medical or Clinic Director Notification Form and Instructions BACKGROUND SCREENING INFORMATION Background Screening Notice Background Screening Web Page Employer Direct Access to Background Screening Results STATUTES AND RULES Health Care Licensing: General Provisions (Chapter 408, s. 408.801-408.832, F.S.) (2007 UPDATE) Health Care Clinic Act (Chapter 400, Part X, F.S.) (2007 UPDATE) Health Care Clinic Licensure Rules(Chapter 59A-33, FL. Administrative Code) FIND LICENSEE AND APPLICANTS Facility Locator (exemptions and licenses issued)(Up-to-date) ADDITIONAL INFORMATION December 2004 Report to the Legislature
IMPORTANT NOTICES AND ALERTS
Health Care Clinic spreadsheet showing the length of time clinics have been continuously licensed as to May 1, 2008 New PIP (Auto Insurance) Regulation Health Care Licensing: General Provisions (Chapter 408, s. 408.801-408.832, F.S.) (2007 UPDATE) Health Care Clinic Act (Chapter 400, Part X, F.S.) (2007 UPDATE) Health Care Clinic Licensure Rules (Chapter 59A-33, FL. Administrative Code) Notice of Insurance Fraud Reward Sign Renewal Application Notice Change of Ownership Application Notice
Health Care Clinic spreadsheet showing the length of time clinics have been continuously licensed as to May 1, 2008
New PIP (Auto Insurance) Regulation
Health Care Licensing: General Provisions (Chapter 408, s. 408.801-408.832, F.S.) (2007 UPDATE)
Health Care Clinic Act (Chapter 400, Part X, F.S.) (2007 UPDATE)
Health Care Clinic Licensure Rules (Chapter 59A-33, FL. Administrative Code) Notice of Insurance Fraud Reward Sign Renewal Application Notice Change of Ownership Application Notice
Health Care Clinic License Application Change of Ownership Renewal Name Change Address Change Certificate of Exemption From Licensure Application Change of Ownership Name Change Address Change Change of Medical or Clinic Director Notification Form and Instructions
Change of Ownership Renewal Name Change Address Change
Change of Ownership Name Change Address Change
Background Screening Notice Background Screening Web Page Employer Direct Access to Background Screening Results
Health Care Licensing: General Provisions (Chapter 408, s. 408.801-408.832, F.S.) (2007 UPDATE) Health Care Clinic Act (Chapter 400, Part X, F.S.) (2007 UPDATE) Health Care Clinic Licensure Rules(Chapter 59A-33, FL. Administrative Code)
Facility Locator (exemptions and licenses issued)(Up-to-date)
December 2004 Report to the Legislature
