- Ref-02766. AHCA HHA Distance 3110-1026
- Ref-02767. HHA CEMP form 3110-1022
- Ref-03070. Health Care Advance Directives - The Patient's Right to Decide
- Ref-03401. Application for Exemption, AHCA Form 3110-0019, September 2013
- Ref-03402. Affidavit of Compliance with Background Screening Requirements, AHCA Form 3100-0008, September 2013
- Ref-04011. Health Care Services Pool Application
- Ref-04100. Consent to Deliver in a Birth Center, AHCA Form 3130-3003, November 2013
- Ref-04452. Health Care Licensing Application, Ambulatory Surgical Centers, AHCA Form 3130-2001 July 2014
- Ref-04454. Emergency Management Planning Criteria for Ambulatory Surgical Centers, AHCA FORM 3130-2003 July 94
- Ref-04457. Health Care Licensing Application, Transitional Living Facilities, AHCA Form 3110-9001, July 2014
- Ref-04487. Health Care Licensing Application, Health Care Services Pool, AHCA form 3110-1010, July 2014
- Ref-04588. Health Care Licensing Application, Multiphasic Health Testing Center, AHCA 3170-4001, July 2014
- Ref-04592. Health Care Licensing Application, Prescribed Pediatric Extended Care Centers, AHCA Form 3110-8002, July 2014
- Ref-04594. Health Care Licensing Application, Birth Center AHCA Form 3130-3001, July 2014
- Ref-04605. Health Care Licensing Application Hospitals, AHCA Form 3130-8001, July 2014
- Ref-04606. “Health Care Advance Directives – The Patient’s Right to Decide,” revised 2006
- Ref-04607. Emergency Services Exemption Request, AHCA Form 3000-1, November 2013
- Ref-04819. Health Care Licensing Application, Abortion Clinic, AHCA Form 3130-1000, July 2014
- Ref-04945. Health Care Licensing Application, Health Care Clinics, AHCA Form 3110-0013, July 2014
- Ref-04946. Application for Exemption from Licensure as a Health Care Clinic, AHCA Form 3110-0014, July 2014
- Ref-04947. Medical/Clinic Director Attestation, AHCA Form 3110-1028 (Sept 2014)
- Ref-05175. Health Care Licensing Application, Health Care Risk Manager, AHCA Form 3130-1015, January 2015
- Ref-05202. AHCA Form 3110-3001, July 2014
- Ref-05234. Comprehensive Emergency Management Plan for Nurse Registries, AHCA Form 3110-1017, May 2015
- Ref-05235. Health Care Licensing Application, Nurse Registry, AHCA Form 3110-7004, October 2014
- Ref-05267. Health Care Licensing Application, Home Medical Equipment Provider, AHCA Form 3110-1005, October 2014
- Ref-05268. Home Medical Equipment Provider, Request to Amend License for Change of Name and/or Address, AHCA Form 3110-1020, October 2014
- Ref-05305. Health Care Licensing Application, Organ Procurement, Tissue Bank, Eye Bank, AHCA Form 3140-2001, July 2014
- Ref-05363. Health Care Licensing Application Addendum AHCA Form 3110-1024 October 2009
- Ref-05421. Health Care Licensing Application, Homemaker and Companion Services Provider, AHCA Form 3110-1003, December 2014
- Ref-05422. Health Care Licensing Application, Home Health Agency, AHCA Form 3110-1011, July 2014
- Ref-05423. Health Care Licensing Application, Clinical Laboratories_Non-waived, AHCA Form 3170-2004, July 2014
- Ref-05423. Health Care Licensing Application, Clinical Laboratories_Non-waived, AHCA Form 3170-2004, July 2014
- Ref-05424. Health Care Licensing Application, Clinical Laboratories-Non-waived (Addition of Specialty, Subspecialty or Change in Specialty at Time Other than Licensure Renewal), AHCA Form 3170-2004D
- Ref-05424. Health Care Licensing Application, Clinical Laboratories-Non-waived (Addition of Specialty, Subspecialty or Change in Specialty at Time Other than Licensure Renewal), AHCA Form 3170-2004D
- Ref-05425. Health Care Licensing Application, Drug-Free Workplace Laboratory, AHCA Form 3170-5001, July 2014
- Ref-05425. Health Care Licensing Application, Drug-Free Workplace Laboratory, AHCA Form 3170-5001, July 2014
- Ref-05425. Health Care Licensing Application, Drug-Free Workplace Laboratory, AHCA Form 3170-5001, July 2014
- Ref-05425. Health Care Licensing Application, Drug-Free Workplace Laboratory, AHCA Form 3170-5001, July 2014
- Ref-05425. Health Care Licensing Application, Drug-Free Workplace Laboratory, AHCA Form 3170-5001, July 2014
- Ref-05435. Application for Exemption, AHCA Form 3110-0019, May 2015
- Ref-05436. Attestation of Compliance with Background Screening Requirements, AHCA Form 3100-0008, May 2015
- Ref-05456. Application for Plan Review, AHCA Form 3500-0011, June 2014
- Ref-05899. Application for Nursing Home Gold Seal Award, AHCA Form 3110-0007, October 2014
- Ref-06014. Health Care Licensing Application Nursing Homes, AHCA Form 3110-6001, July 2014
- Ref-06016. Nursing Home Patient Trust Surety Bond, AHCA Form 3110-6002, May 2008
- Ref-06017. Nursing Home Transfer and Discharge Notice, AHCA Form 3120-0002, April 2014
- Ref-06018. Fair Hearing Request for Transfer or Discharge From a Nursing Home, AHCA Form 3120-0003, April 2014
- Ref-06019. Long-Term Care Ombudsman Council Request for Review of Nursing Home Discharge and Transfer, AHCA Form 3120-0004, April 2014
- Ref-06020. Solicitud de Revisión de Long-Term Care Ombudsman de la Dada de Alta o El Traslado de un Hogar de Ancianos, AHCA Form 3120-0004A, April 2014
- Ref-06021. Health Care Advance Directives – The Patient’s Right to Decide, effective April 2006
- Ref-06022. Emergency Management Planning Criteria for Nursing Home Facilities, AHCA 3110-6006, March, 1994
- Ref-06023. Fire Incident Report, AHCA form 3500-0031, July 2014
- Ref-06024. Application for Plan Review, AHCA Form 3500-0011, June 2014
- Ref-06174. Nursing Home Tables I, II and III, effective March 1, 2002
- Ref-06175. AHCA Form 3110-5003 Intermediate Care Facilities for Developmentally Disabled July 2014
- Ref-06199. Fire Incident Report, AHCA Form 3500-0031, Revised July 2014
- Ref-06268. Birth Center Annual Report, AHCA Form 3130-3004
- Ref-06401. Title 42 CFR, Sections 483.420(b)(1)-(2), effective October 1, 2014
- Ref-06402. 42 CFR 483.430(d)(3), dated October 1, 2014
- Ref-06701. Monthly Report of Induced Terminations of Pregnancy, AHCA Form 3130-1010 OL, February 2016
- Ref-06986. AHCA Form 3130-1016, May 2016, Verification of Practical Experience
- Ref-07060. Health Care Licensing Application, Home Health Agency, AHCA Form 3110-1011, March 2016
- Ref-07061. Health Care Licensing Online Application, Home Health Agency, AHCA Form 3110-1011OL, March 2016
- Ref-07162. Health Care Licensing Application, Nurse Registry, AHCA Form 3110-7004, March 2016
- Ref-07163. Health Care Licensing Online Application, Nurse Registry, AHCA Form 3110-7004OL, March 2016
- Ref-07333. Monthly Report of Induced Terminations of Pregnancy, AHCA Form 3130-1010 OL, July 2016
- Ref-07333. Monthly Report of Induced Terminations of Pregnancy, AHCA Form 3130-1010 OL, July 2016
- Ref-07440. Health Care Licensing Application, Abortion Referral or Counseling Agency, AHCA Form 3130-1020, July 2016
- Ref-07591. Monthly Report of Induced Terminations of Pregnancy, AHCA Form 3130-1010 OL, January 2017
- Ref-07596. Health Care Licensing Application, Abortion Clinic, AHCA Form 3130-1000, July 2016
- Ref-07597. Health Care Licensing Online Application, Abortion Clinics, AHCA Form 3130-1000OL, July 2016
- Ref-07598. Refusal to Permit Administration of Rho(D) Immune Globulin, AHCA Form 3130-1002, July 2016
- Ref-07599. Abortion Clinic Incident Report Form, AHCA Form 3130-1003, July 2016
- Ref-07613. Application for Nursing Home Gold Seal Award, AHCA Form 3110-0007
- Ref-08458. Health Care Registration, Abortion Referral or Counseling Agency, AHCA Form 3130-1020, February 2017
- Ref-08776. Health Maintenance Organization Adverse Incident Report, HMO Adverse Incident, AHCA Form 3140-5003 OL, April 2017
- Ref-08776. Health Maintenance Organization Adverse Incident Report, HMO Adverse Incident, AHCA Form 3140-5003 OL, April 2017
- Ref-08777. Nursing Home Adverse Incident, AHCA Form 3110-0010 OL, April 2017
- Ref-08778. Assisted Living Facility Adverse Incident, AHCA Form 3180-1025 OL, April 2017
- Ref-08779. Hospital Adverse Incident, AHCA Form 3140-5001 OL, April 2017
- Ref-08780. Ambulatory Surgical Center Adverse Incident, AHCA Form 3140-5004 OL, April 2017
- Ref-09009. OPTN policies, effective April 6, 2017
- Ref-09010. “PHS Guideline for Reducing Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus Transmission Through Organ Transplantation”, as published in Public Health Reports/July-August 2013/Volume 128
- Ref-09011. 21 CFR Part 1270, 2010 Edition
- Ref-09012. 21 CFR Part 1271, 2012 Edition
- Ref-09014. 42 CFR Parts 413, 441, 486, and 498, effective May 31, 2006
- Ref-09015. Occupational Safety and Health Administration (OSHA) rules 29 Code of Federal Regulations (CFR) Part 1910.1030, effective April 3, 2012
- Ref-09016. FDA Guidance for Industry “Eligibility Determination for Donors of Human Cells, Tissues and Cellular and Tissue-based Products (HCT / Ps)”, August 2007
- Ref-09080. Annual Report, AHCA Form 3140-5002 OL, Dec 2001
- Ref-09080. Annual Report, AHCA Form 3140-5002 OL, Dec 2001
- Ref-09105. Background Screening Application for Exemption, AHCA Form 3110-0019, January 2017
- Ref-09106. Attestation of Compliance with Background Screening Requirements, AHCA Form 3100-0008, January 2017
- Ref-09321. Health Care Licensing Application, Transitional Living Facility, AHCA Form 3110-9001, January 2018
- Ref-09326. USDA Dietary Guidelines for Americans, 2015-2020, Eighth Edition
- Ref-09635. License Application Adult Inpatient Diagnostic Cardiac Catheterization Services, AHCA Form 3130-5003, January 2018
- Ref-09635. License Application Adult Inpatient Diagnostic Cardiac Catheterization Services, AHCA Form 3130-5003, January 2018
- Ref-09635. License Application Adult Inpatient Diagnostic Cardiac Catheterization Services, AHCA Form 3130-5003, January 2018
- Ref-09636. License Application Level I Adult Cardiovascular Services, AHCA Form 3130-8010, January 2018
- Ref-09636. License Application Level I Adult Cardiovascular Services, AHCA Form 3130-8010, January 2018
- Ref-09636. License Application Level I Adult Cardiovascular Services, AHCA Form 3130-8010, January 2018
- Ref-09637. License Application Level II Adult Cardiovascular Services, AHCA Form 3130-8011, January 2018
- Ref-09637. License Application Level II Adult Cardiovascular Services, AHCA Form 3130-8011, January 2018
- Ref-09637. License Application Level II Adult Cardiovascular Services, AHCA Form 3130-8011, January 2018
- Ref-09638. License Application Stroke Center Affidavit, AHCA Form 3130-8009, January 2018
- Ref-09638. License Application Stroke Center Affidavit, AHCA Form 3130-8009, January 2018
- Ref-09638. License Application Stroke Center Affidavit, AHCA Form 3130-8009, January 2018
- Ref-09639. License Application Burn Unit Services, AHCA Form 3130-8012, January 2018
- Ref-09639. License Application Burn Unit Services, AHCA Form 3130-8012, January 2018
- Ref-09639. License Application Burn Unit Services, AHCA Form 3130-8012, January 2018
- Ref-10148. Health Care Licensing Application, Birth Center, AHCA Form 3130-3001, June 2018
- Ref-10149. Health Care Licensing Online Application, Birth Center, AHCA Form 3130-3001OL, June 2018
- Ref-10284. Application for Certificate of Exemption from Licensure as a Health Care Clinic
- Ref-10296. Health Care Licensing Application, Ambulatory Surgical Center, AHCA Form 3130-2001, September 2018
- Ref-10297. Health Care Licensing Online Application, Ambulatory Surgical Center, AHCA Form 3130-2001OL, September 2018
- Ref-10381. Application for Exemption from Licensure as a Home Health Agency, AHCA Form 3110-1009, July 2018
- Ref-10434. Birth Center Annual Report, AHCA Form 3130-3004OL, February 2019
- Ref-10652. AHCA Form 3130-8013, July 2018, License Application Alternate-Site Testing
- Ref-10855. Abortion Clinic Incident Report, AHCA Form 3130-1003OL, March 2019
- Ref-11201. Attestation of Compliance, Multiphasic Health Testing Center, AHCA Form 3170-4005, July 2019
- Ref-11220. Health Care Licensing Online Application, Multiphasic Health Testing Center, AHCA Form 3170-4001OL, April 2019
- Ref-11229. Health Care Licensing Application, Multiphasic Health Testing Center, AHCA 3170-4001, April 2019
- Ref-12147. Annual Report, AHCA Form 3140-5002 OL, May 2018
- Ref-12455. Health Care Licensing Application, Home Health Agency, AHCA Form 3110-1011, April 2019
- Ref-12456. Health Care Licensing Online Application, Home Health Agency, AHCA Form 3110-1011OL, April 2019
- Ref-13012. Hospital Outpatient Observation Notice, AHCA Form 3190-2000, April 2021
- Ref-13013. Quality Measures and Patient Safety Information, AHCA Form 3190-2001OL, April 2021
- Ref-13531. AHCA Form 1823, Resident Health Assessment for Assisted Living Facilities, April 2021
- Ref-13996. Health Care Licensing Application Intermediate Care Facilities for Developmentally Disabled; AHCA Form 3110-5003 April 2021
- Ref-13997. Health Care Licensing Application Intermediate Care Facilities for Developmentally Disabled; AHCA Form 3110-5003 OL April 2021
- Ref-13999. Application for Exemption from Licensure as a Home Health Agency AHCA Form 3110-1009 July 2021
- Ref-14000. Income and Expense Statement AHCA Form 3180-1017 August 2021
- Ref-14001. Local Zoning Form AHCA Form 3180-1021 August 2021
- Ref-14115. Health Care Licensing Application Birth Centers AHCA Form 3130-3001 January 2022
- Ref-14116. Health Care Licensing Application Birth Center; AHCA Form 3130-3001 OL January 2022
- Ref-14117. Birth Center Annual Report AHCA Form 3130-3004 OL January 2022
- Ref-14931. Monthly Report of Induced Terminations of Pregnancy, AHCA Form 3130-1010 OL, July 2022
- Ref-14971. Health Care Licensing Application Hospital, AHCA Form 3130-8001, July 2022
- Ref-14972. Health Care Licensing Online Application, Hospital, AHCA Form 3130-8001OL, July 2022
- Ref-14999. ASC_Patient_Safety_Culture_Survey_AHCA_Form_3130-8017_October2022
- Ref-15000. ASC_PSCS_Data_Entry_Tool_AHCA_Form_3130-8017A_October_2022
- Ref-15001. ASC_PSCS_Guide_and_Data_File_Specifications_AHCA_Form_3130-8016_October2022
- Ref-15002. Hospital_Patient_Safety_Culture_Survey_AHCA_Form_3130-8015_October2022
- Ref-15003. Hospital_PSCS_DataEntryTool_AHCA_Form_3130-8015A_October_2022
- Ref-15004. Hospital_PSCS_Guide_and_Data_File_Specifications_AHCA_Form_3130-8014_October_2022