Ref-07006 CF-MH 3118, June 2016, Cover Sheet to Agency for Health Care Administration

 
CF-MH 3118.20160525.doc
Each designated receiving facility, when submitting to the Agency for Health Care Administration certain recommended or mandatory forms provided by professionals who initiate involuntary examination of a person, must use this form as a transmittal cover sheet.  
CF-MH 3118.20160715.doc
Edited footnote for clarity.   7/15/2016
CF-MH 3118.20160721--tc.doc
This form, "Cover Sheet to Department of Children and Families," was formerly titled "Cover Sheet to Agency for Health Care Administration." Title change is the result of a change to Paragraph 394.463(2)(e), F.S.   7/25/2016

Description:

Each designated receiving facility, when submitting to the Agency for Health Care Administration certain recommended or mandatory forms provided by professionals who initiate involuntary examination of a person, must use this form as a transmittal cover sheet.