jump to main menu jump to subject menu jump to content jump to footer

 

Company Admissions

CONTINUING CARE PROVIDER - PROVISIONAL CERTIFICATE OF AUTHORITY

ALL FORMS APPLICATION FOR A PROVISIONAL CERTIFICATE OF AUTHORITY PACKAGE
OIR-C1-471 APPLICATION FOR A PROVISIONAL CERTIFICATE OF AUTHORITY (Pursuant to Chapter 651, Florida Statutes)

OIR-C1-144

SERVICE OF PROCESS & AGREEMENT

OIR-C1-905 INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS
OIR-C1-938 FINGERPRINT CARD INSTRUCTIONS
OIR-C1-2221 MANAGEMENT INFORMATION FORM
OIR-C1-1423 BIOGRAPHICAL AFFIDAVIT