Welcome to AHCA's portal for on-line filing of required forms. This web site is designed to aid nursing homes and assisted living facilities in filing required documents via the Internet. If you have problems or need immediate assistance, call (850) 922-6089. If you forget your user ID or password, or have general comments or suggestions for improvement, you may e-mail us at Office of Risk Management and Patient Safety .
Available forms are:
- Adverse Incidents
- Nursing Homes
- Assisted Living Facilities -- Adverse Incident Information
- Liability Claims
- Assisted Living Facilities
New User Application [95.5KB]
“To submit an online report please click the “I Agree” button below. Please keep in mind that 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.