- Be certain to look at our Licensing and Certification page for specific links to applications forms.
- Licensure Application Forms by Provider Type
Consumers
- To file a complaint about a health care facility, such as a hospital, nursing home, assisted living facility, home health agency, or other type of health care facility, call (888) 419-3456. Complaints may also be filed by completing the Health Care Facility Complaint Form. Please search our HealthFinder.fl.gov site to see if the facility you have concerns about is one that is regulated by our Agency.
- To request an Agency publication, call (888) 419-3456, or go to our Publications page.
- Get answers to your questions by using our Contact Us form.
Certificate of Need / Financial Analysis
- The Application and Certificate for Payment, the Project Completion Forecast and the Final Cost Report forms are available for download on the CON Forms page.
- The CON application packet is available on-line.
Medicaid
- HIPAA Privacy Notice is available.
- Medicaid Newborn Activation Policy is available.
- Medicaid Nursing Facility Provider Information is available.
- Pharmacy Prior Authorization Forms are available.
Florida Center for Health Information and Policy Analysis
- Limited Data Set Use Agreement Form[
] - This form is required for access to de-identified patient (hospital and/or ambulatory) data.
