Birth Center
A birth center is a licensed facility which is not an ambulatory surgical center, a hospital or located within a hospital, in which births are planned to occur away from the mother's usual place of residence following a normal, uncomplicated, low-risk pregnancy.
Initial/Renewal License Requirements
A facility applying for a license must meet all state licensing requirements, provide required documentation and have completed a satisfactory survey. The biennial license fee is $360.00 and the annual survey/inspection fee is $250.00. Accredited birth centers must only pay the survey fee in the year surveyed by the Agency for Health Care Administration.
To renew a current state license that is due to expire, you must print the licensure application form below and submit the completed form(s) with the renewal fee prior to the expiration date of the license. Applications for renewal must be received by the Agency at least 60 days prior to the expiration of the license or a late fee will be assessed.
- Birth Center Licensure Application (354K PDF)
- NOTE: A renewal application will not be accepted if the birth center license is expired. An initial license application must be filed if your license has expired.
- Health Care Licensing Application , Addendum , Voluntary Board Member Affidavit, and Affidavit of Compliance with Background Screening Requirements.
- These forms are recommended for use beginning October 1, 2006, to comply with the reporting requirements pursuant to Chapter 408, Part II, Florida Statutes. Please provide this information in addition to the licensing application for the specific provider/facility type.
Required documentation/forms
Background Screening
Florida Department of Law Enforcement and FBI fingerprinting must be completed by the center's manager and the person responsible for the daily financial operation of the center prior to approving the initial application and then repeated every five years. Please go to the background screening section of this web site for additional documentation that must be submitted with your application.
Birth Center Annual Report
Each licensed birth center must submit a completed annual report form to the Agency for Health Care Administration no later than July 30 each year.
Notification of Disposition of Fetal Remains Form (AHCA Form 3100-0006 January 2005)
This form provides the procedures for notification of options available to a mother who has experienced a spontaneous fetal demise of less than 20 weeks gestation. This form, to be used by hospitals and birth centers, is similar to a Department of Health form that would be used by health care practitioners to provide this information. The form is required by section 383.33625, Florida Statutes, the Stephanie Saboor Grieving Parents Act, and section 59A-3.281, Florida Administrative Code.Statute/Rule Authority
- Sections 383.30 - 383.335, Florida Statutes
- Chapter 59A-11, Florida Administrative Code
- Chapter 408, Part II, Florida Statutes
Forms
- Birth Center Consent Form (342K PDF)
- Birth Center Annual Report Form (178K PDF)
- Disposition of Fetal Remains Form (AHCA Form 3100-0006 January 2005)
Updated March 5, 2009
