Grand Rapids Popcorn Recalls PCA's 30# Cases of Medium Chop Granulated Peanuts Sold in Michigan and Florida because of Possible Health Risk - February 5, 2009 Close

Long-Term Care Services | Assisted Living Unit | Long-Term Care Unit | Central Systems Management Unit | On-Line Reporting

On-Line Reporting

Welcome to AHCA's portal for on-line filing of required forms. This web site is designed to aid nursing homes and assisted living facilities in filing required documents via the Internet. If you have problems or need immediate assistance, call (850) 922-6089. If you forget your user ID or password, or have general comments or suggestions for improvement, you may e-mail us at fdau_email@ahca.myflorida.com.

Available forms are:

  • Adverse Incidents
  • Liability Claims
    • Nursing Homes
    • Assisted Living Facilities
  • Staffing
    • Nursing Homes
  • Available Beds
    • Nursing Homes

Security Requirements for Users of This Website

Downloads:

New User Application .doc

Reporting Tips:



WARNING!
By accessing this site you are consenting and agreeing to follow the Agency for Health Care Administration's policies regarding acceptable use, protection of information resources and confidential health care information. By submitting electronic reports, you are affirming that the information contained in the report is true, correct, and can be relied upon by the recipient pursuant to Florida Law.

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Long-Term Care Services | Assisted Living Unit | Long-Term Care Unit | Central Systems Management Unit | On-Line Reporting