Florida Home Health Attestation of Compliance with Distance Requirements AHCA Form 3110-1026
The Home Health Attestation of Compliance with Distance Requirements app helps ensure that health care providers that offer in-home health service meet the requirements for employment.
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The form must be submitted to the proper authority once the health care provider submits the appropriate background and criminal history details. The app features an electronical signature capability, making it easy for the employer or health care facility to get all the details they need to fulfill the state's applicable regulations from anywhere in the field.
Every agency, hospital or health care provider facility that manages home health care provides must this type of form on hand for all employees. This helps mitigate potential risk to the patient and also helps protect the health care facility from liability. This form can be used for both full-time and part-time employees.
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