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  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
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Agency:

Agency for Health Care Administration
59A. Health Facility and Agency Licensing

Description:

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.

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