Ref-05363 Health Care Licensing Application Addendum AHCA Form 3110-1024 October 2009

Description:

Supplemental application to be submitted with any application for licensure filed in accordance with Ch. 408, F.S.

Related Rules

• 59A-35.060 Licensure Application Process.

Related Notices

• 16563155.The Agency is proposing to amend a rule within Rule Chapter 59A-35, F.A.C., Health Care Licensing Procedures, governing the licensure application process, to update application forms and the application addendum incorporated by reference. Application forms for the following provider types will be updated: Crisis Stabilization Units, Short Term Residential Treatment Units, Residential Treatment Facilities, Residential Treatment Centers for Children and Adolescents, Hospices, Assisted Living Facilities, Adult Family-Care Homes and Adult Day Care Centers.
• 16738531.Licensure Application Process.