Ref-04607 Emergency Services Exemption Request, AHCA Form 3000-1, November 2013
-
FINAL AHCA Form 3000-1 Emergency Services Exemption Request November 2013.docx
If a hospital is unable to provide a service on a 24 hour per day, 7 day per week basis, either directly or indirectly through arrangement with another hospital or physician(s), the hospital must file an application with the Agency to request a service exemption. 9/5/2014