Florida Assisted Living Facility Health Care Licensing Application Addendum AHCA Form 3110-1024

Form Template

The Florida Assisted Living Facility Health Care Licensing Application app makes it easy to fill out an official agency application when opening a long-term care facility, nursing home, skilled nursing facility or adult day care center.

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While this app was created for agency requirements in Florida, it can be customized for use in any location.

According to health care services requirements, all applicants must submit a detailed application before they begin offering long-term care services for residents. With this Florida Assisted Living Facility Health Care Licensing Application, all of these important health care services and personal information can be submitted electronically right from your mobile device.

This information is used to run criminal background checks and to ensure that the applicant meets other requirements for licensure in assisted living facilities. To ensure the safety of all residents, staff members and caregiver staff must fill out the form before they begin offering residential treatment in both private residential care facilities and community living centers.

Features
  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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