On-Line Reporting
Welcome to AHCA's portal for on-line filing of required forms. This web site
is designed to allow submission of Code 15 and Annual Reports for hospitals and
ambulatory surgical centers via the internet. If you have problems or need immediate
assistance, call (850) 414-0084. If you forget your user ID or password, or have
general comments or suggestions for improvement, send your correspondence to Etsuko Sudano at
sudanoe@ahca.myflorida.com.
Read and agree to the terms below to access AHCA on-line filing system.
WARNING!
By accessing this site you are consenting and agreeing to follow the Agency for Health Care
Administration's policies regarding acceptable use, protection of information resources and
confidential health care information.
By submitting electronic reports, you are affirming that the information contained in the
report is true, correct, and can be relied upon by the recipient pursuant to Florida Law.
Downloads:
New User Application (178 KB .doc)
Reporting Tips:
Security requirements for users of the on-line reporting system.
Updated August 29, 2007
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