| Reference No. |
Reference Name |
Link |
Description |
| Ref-00704 |
Pain-Management Clinic Registration |
http://www.flrules.org/Gateway/reference.asp?No=Ref-00704 |
Application for registration as a Pain-Management Clinic.
|
| Ref-00791 |
Physician Workforce Survey |
http://www.flrules.org/Gateway/reference.asp?No=Ref-00791 |
64B-9.002 Physician Workforce Survey
|
| Ref-01026 |
DH-MQA 1031 8/11 Office Surgery Registration Application |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01026 |
|
| Ref-01027 |
DH-MQA 1071 8/11 Office Surgery Registration Application |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01027 |
|
| Ref-01112 |
Temporary License For Spouses Of Active Duty Members Of The Armed Forces Application |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01112 |
|
| Ref-01268 |
Application for Counterfeit-Proof Prescription Pad Vendor |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01268 |
|
| Ref-01306 |
APPLICATION FOR CANDIDATES REQUESTING SPECIAL TESTING ACCOMMODATIONS IN ACCORDANCE WITH THE AMERICANS WITH DISABILITIES ACT DH-MQA 4000, 2/11 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01306 |
|
| Ref-01307 |
APPLICATION FOR SPECIAL TESTING ACCOMMODATIONS DUE TO A RELIGOUS CONFLICT DH-MQA 4001, 2/11 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01307 |
|
| Ref-01308 |
REAPPLICATION FOR CANDIDATES REQUESTING SPECIAL TESTING ACCOMMODATIONS IN ACCORDANCE WITH THE AMERICANS WITH DISABILITIES ACT DH-MQA 1191, 2/11 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01308 |
|
| Ref-01309 |
APPLICATION FOR USE OF A TRANSLATION DICTIONARY DUE TO ENGLISH AS A SECOND LANGUAGE |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01309 |
|
| Ref-01895 |
64B-9.001 Renewal Form 1229 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01895 |
Renewal Form 1229 Bd of Med
|
| Ref-01932 |
64B-9.003 Military Spouse Temporary License |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01932 |
Military Spouse Temporary License
|
| Ref-03888 |
TEMPORARY LICENSE FOR SPOUSES OF ACTIVE DUTY MEMBERS OF THE ARMED FORCES APPLICATION |
http://www.flrules.org/Gateway/reference.asp?No=Ref-03888 |
TEMPORARY LICENSE FOR SPOUSES OF ACTIVE DUTY MEMBERS OF THE ARMED FORCES APPLICATION
|
| Ref-04823 |
Military Veteran and Spouse Fee Waiver Request |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04823 |
Form DH-MQA 2129 (5/14)
|
| Ref-04824 |
Florida Department of Health Active Military or Veterans Licensure Application |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04824 |
Form DH5000-MQA (05/14)
|
| Ref-05885 |
DH-MQA Form 1219, revised 7/15 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05885 |
|
| Ref-05904 |
DH-MQA 1031 (07/15) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05904 |
|
| Ref-05905 |
DH-MQA 1071 (07/15) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05905 |
|
| Ref-07607 |
DH5019-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07607 |
Telehealth Practitioner Survey (07/2016)
|
| Ref-07724 |
DH5000-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07724 |
Active Military or Veterans Licensure Application (07/2016)
|
| Ref-07725 |
DH5015-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07725 |
Active Military Spouse Licensure Application (07/2016)
|
| Ref-07726 |
DH5016-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07726 |
Temporary Certificate for Active Duty Military Health Care Practitioners Application (07/2...
|
| Ref-07727 |
DH5017-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07727 |
Temporary Certificate for Active Duty Military Health Care Practitioners Renewal Applicati...
|
| Ref-08051 |
DH-MQA 1229 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-08051 |
License Renewal Application (Active and Inactive Status) (11/16)
|
| Ref-08052 |
DH-MQA 1231 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-08052 |
Business Establishment Renewal Application (Active Status) (11/16)
|
| Ref-08724 |
DH-MQA 1229 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-08724 |
License Renewal Application (Active and Inactive Status) (rev 06/17)
|
| Ref-08725 |
DH-MQA 1231 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-08725 |
Business Establishment Renewal Application (Active Status) (rev 06/17)
|
| Ref-08803 |
DH MQA 5025 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-08803 |
Physician Assistant Workforce Survey (07/17)
|
| Ref-09939 |
DH-MQA 1250 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-09939 |
Application for Counterfeit-Proof Prescription Pad Vendor (05/18)
|
| Ref-09986 |
DH MQA 1119 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-09986 |
Physician Workforce Survey (07/18)
|
| Ref-10000 |
DH5031-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-10000 |
Application for Exemption from Pain Management Clinic Registration (07/18)
|
| Ref-10090 |
DH-MQA 1229 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-10090 |
License Renewal Application (Active and Inactive Status), (07/18)
|
| Ref-10091 |
DH-MQA 1231 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-10091 |
Business Establishment Renewal Application (Active Status), (07/18)
|
| Ref-10092 |
DH5031-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-10092 |
Pain Management Clinic Registration Exemption Renewal (07/18)
|
| Ref-11309 |
DH MQA 1119 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11309 |
Physician Workforce Survey (07/19)
|
| Ref-11686 |
DH5037-MQA-07/2019 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11686 |
Application for Out-of-State Telehealth Provider Registration
|
| Ref-11687 |
DH5041-MQA-07/2019 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11687 |
License Verification Request Out-of-State Telehealth Provider
|
| Ref-11688 |
DH5038-MQA-07/2019 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11688 |
Change of Registered Agent and/or Registered Office Out-of-State Telehealth Provider
|
| Ref-11689 |
DH5039-MQA-07/2019 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11689 |
Change of Financial Responsibility Form Out-of-State Telehealth Provider
|
| Ref-11743 |
DH-MQA 1031 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11743 |
Office Surgery Registration Application (08/2019)
|
| Ref-12148 |
DH5042-MQA-10/2019 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-12148 |
Request for Waiver Electronic Prescribing Requirement
|
| Ref-12412 |
DH-MQA 1031 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-12412 |
Office Surgery Registration Application (6/2020)
|
| Ref-12639 |
DH5016-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-12639 |
Temporary Certificate for Active Duty Military Health Care Practitioners Application (05/2...
|
| Ref-12658 |
DH5017-MQA |
http://www.flrules.org/Gateway/reference.asp?No=Ref-12658 |
Temporary Certificate for Active Duty Military Health Care Practitioners Renewal Applicati...
|
| Ref-13188 |
DH-MQA 1219 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-13188 |
Application to Register Pain Management Clinic (06/2020)
|
| Ref-13189 |
DH-MQA 5031 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-13189 |
Application for Exemption from Pain Management Clinic Registration (6/2020)
|
| Ref-13196 |
DH-MQA 1229 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-13196 |
License Renewal Application (Active and Inactive Status), (08/20)
|
| Ref-13197 |
DH-MQA 1231 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-13197 |
Business Establishment Renewal Application (Active Status), (06/20)
|
| Ref-15559 |
DH-MQA 5073, Application for Registration of Occupational Therapy Doctoral Capstone Experience, effective 05/2022 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15559 |
Proposed Rule 64B-9.009
|
| Ref-15840 |
DH-MQA 1229 License Renewal Application (Active and Inactive Status) 06/22 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15840 |
|
| Ref-16084 |
DH5037-MQA App for Out-of-State Telehealth Registration_11.2022 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-16084 |
DH5037-MQA App for Out-of-State Telehealth Registration_11.2022
|