| Reference No. |
Reference Name |
Link |
Description |
| Ref-01266 |
CFOP 215-6, Incident Reporting and Analysis System |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01266 |
CFOP 215-6 describes the Department of Children and Families incident reporting and analys...
|
| Ref-01267 |
DCF Pamphlet 155-2 Chapter 14 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-01267 |
DCF Pamphlet 155-2 Chapter 14 describes requirements for reporting of seclusion and restra...
|
| Ref-02361 |
CF-MH 7001 State Mental Health Facility Discharge Plan |
http://www.flrules.org/Gateway/reference.asp?No=Ref-02361 |
Recommended form for discharge from state mental health treatment facilities. Incorporated...
|
| Ref-02362 |
CF-MH 7002 Physician to Physician Transfer Form |
http://www.flrules.org/Gateway/reference.asp?No=Ref-02362 |
Recommended for physician at mental health treatment facility to provide summary clinical ...
|
| Ref-04187 |
CF-MH 1034 with Instructions July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04187 |
SAMH Audit Schedule of State Earnings
|
| Ref-04188 |
CF-MH 1036 with Instructions July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04188 |
SAMH Audit Schedule of Bed-Day Availability Payments
|
| Ref-04189 |
CF-MH 1037 with Instructions July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04189 |
SAMH Audit Schedule of Actual Expenses and Revenues
|
| Ref-04190 |
CF-MH 1038 with Instructions July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04190 |
SAMH Cost Reimbursement Line Item Budget
|
| Ref-04191 |
CF-MH 1040 July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04191 |
SAMH Cost Reimbursement Contract Invoice Exhibit
|
| Ref-04192 |
CF-MH 1042 July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04192 |
SAMH Projected Operating and Capital Budget
|
| Ref-04193 |
CF-MH 1043 July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04193 |
SAMH Agency Capacity Report
|
| Ref-04194 |
CF-MH 1045 July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04194 |
SAMH Program Description
|
| Ref-04195 |
I.R.C. 36B(d)2 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04195 |
Internal Revenue Code Section 36B(d)2 - Definition of Household Income
|
| Ref-04196 |
42 CFR 435.603 October 2012 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04196 |
42 Code of Federal Regulations 435.603
|
| Ref-04197 |
OMB Circular A-87 May 2004 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04197 |
OMB Cost Principles for State, Local, and Indian Tribal Governments
|
| Ref-04199 |
OMB Circular A-122 May 2004 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04199 |
OMB Cost Principles for Non-Profit Organizations
|
| Ref-04200 |
OMB Circular A-133 Revised June 26 2007 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04200 |
OMB Audits of States, Local Governments, and Non-Profit Organizations
|
| Ref-04201 |
Reference Guide For State Expenditures 033011 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04201 |
DFS Reference Guide for State Expenditures
|
| Ref-04203 |
CF-MH 1035 July 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04203 |
SAMH Audit Schedule of Related Party Transaction Adjustments
|
| Ref-04214 |
OMB Circular A-110 1999 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-04214 |
|
| Ref-05427 |
CF-MH 1045 Feb 2015 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-05427 |
Form CF-MH 1045, Program Description, Revised February 2015
|
| Ref-06146 |
CF-MH 1045 Oct 2015 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06146 |
Program Description Form
|
| Ref-06538 |
CF-MH 1045 (Oct 2015) |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06538 |
CF-MH 1045 Program Description
|
| Ref-06630 |
2 CFR Part 200, Jan 1 2014 |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06630 |
"Part 200--Uniform Administrative Requirements, Cost Principles, and Audit Requirements fo...
|
| Ref-06646 |
Certificate of Professional Initiating Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06646 |
Revised form is one of three forms used for collecting data reported to the Agency for Hea...
|
| Ref-06648 |
Cover Sheet to Agency for Health Care Administration |
http://www.flrules.org/Gateway/reference.asp?No=Ref-06648 |
This revised form is incorporated by reference into Rule 65E-280. It provides for data tha...
|
| Ref-07004 |
CF-MH 3052a, June 2016, Report of Law Enforcement Officer Initiating Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07004 |
A law enforcement officer who initiates an involuntary examination of a person must comple...
|
| Ref-07005 |
CF-MH 3052b, June 2016, Certificate of Professional Initiating Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07005 |
A law enforcement officer who initiates an involuntary examination of a person must comple...
|
| Ref-07006 |
CF-MH 3118, June 2016, Cover Sheet to Agency for Health Care Administration |
http://www.flrules.org/Gateway/reference.asp?No=Ref-07006 |
Each designated receiving facility, when submitting to the Agency for Health Care Administ...
|
| Ref-08945 |
CF-MH 3084 Baker Act Service Eligibility |
http://www.flrules.org/Gateway/reference.asp?No=Ref-08945 |
|
| Ref-09031 |
3042a General Authorization for Treatment Except Psychotropic Medication |
http://www.flrules.org/Gateway/reference.asp?No=Ref-09031 |
|
| Ref-11919 |
CF-MH 3001 Ex Parte Order for Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11919 |
|
| Ref-11920 |
CF-MH 3002 Petition and Affidavit Seeking Ex Parte Order Requiring Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11920 |
|
| Ref-11921 |
CF-MH 3045 Notice of Individual’s Admission for Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11921 |
|
| Ref-11922 |
CF-MH 3052a. Report of Law Enforcement Officer Initiating Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11922 |
|
| Ref-11923 |
CF-MH 3052b. Certificate of Professional Initiating Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11923 |
|
| Ref-11924 |
CF-MH 3101 Hospital Determination That Individual Does Not Meet Involuntary Placement Criteria |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11924 |
|
| Ref-11925 |
CF-MH 3102 Request for Involuntary Examination after Stabilization of Emergency Medical Condition |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11925 |
|
| Ref-11928 |
CF-MH 3119 Notification of a Facility's Non-Compliance |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11928 |
|
| Ref-11929 |
CF-MH 3118 Cover Sheet to Department of Children and Families |
http://www.flrules.org/Gateway/reference.asp?No=Ref-11929 |
|
| Ref-12487 |
CF-MH 3124 Personal Safety Plan |
http://www.flrules.org/Gateway/reference.asp?No=Ref-12487 |
|
| Ref-12504 |
CF-MH 3044 Authorization for Release of Information |
http://www.flrules.org/Gateway/reference.asp?No=Ref-12504 |
|
| Ref-12505 |
CF-MH 3057F Authorization for Electroconvulsive Treatment for a Resident of a State Mental Health Treatment Facility |
http://www.flrules.org/Gateway/reference.asp?No=Ref-12505 |
|
| Ref-12506 |
?CF 1630 Informed Consent for Psychotherapeutic Medication |
http://www.flrules.org/Gateway/reference.asp?No=Ref-12506 |
|
| Ref-15526 |
CF-MH 3040, Application for Voluntary Admission – Adults |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15526 |
|
| Ref-15527 |
CF-MH 3098, Application for Voluntary Admission – State Treatment Facility |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15527 |
|
| Ref-15528 |
CF-MH 3104, Certification of Individual’s Competence to Provide Express and Informed Consent |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15528 |
|
| Ref-15529 |
CF-MH 3097, Application for Voluntary Admission – Minors |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15529 |
|
| Ref-15530 |
CF-MH 3051a, Notice of Right of Individual on Voluntary Status to Request Discharge from a Receiving Facility |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15530 |
|
| Ref-15531 |
CF-MH 3051b, Notice of Right of Individual on Voluntary Status to Request Discharge from a Treatment Facility |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15531 |
|
| Ref-15532 |
CF-MH 3099, Certification of Ability to Provide Express and Informed Consent for Voluntary Admission and Treatment of Selected Individuals from Facilities Licensed under Chapter 400, F.S. |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15532 |
|
| Ref-15533 |
CF-MH 3119, Notification of Non-Compliance with Required Certificate |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15533 |
|
| Ref-15534 |
CF-MH 3105, Refusal or Revocation of Consent to Treatment |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15534 |
|
| Ref-15535 |
CF-MH 3032, Petition for Involuntary Inpatient Placement |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15535 |
|
| Ref-15536 |
CF-MH 3130, Petition for Involuntary Outpatient Placement |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15536 |
|
| Ref-15765 |
CF-MH 3002, Petition and Affidavit Seeking Ex Parte Order Requiring Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15765 |
|
| Ref-15766 |
CF-MH 3001, Ex Parte Order for Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15766 |
|
| Ref-15767 |
CF-MH 3052a, Report of Law Enforcement Officer Initiating Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15767 |
|
| Ref-15768 |
CF-MH 3052b, Certificate of Professional Initiating Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15768 |
|
| Ref-15769 |
CF-MH 3101, Hospital Determination that Individual Does Not Meet Involuntary Placement Criteria |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15769 |
|
| Ref-15770 |
CF-MH 3102, Request for Involuntary Examination After Stabilization of Emergency Medical Condition |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15770 |
|
| Ref-15771 |
CF-MH 3118, Baker Act Data Collection Form |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15771 |
|
| Ref-15772 |
CF-MH 3045, Notice of Individual’s Admission for Involuntary Examination |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15772 |
|
| Ref-15787 |
CF-MH 7001 State Mental Health Facility Discharge Form |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15787 |
|
| Ref-15788 |
CF-MH 7002 Physician to Physician Transfer |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15788 |
|
| Ref-15789 |
CF-MH 4057, Certificate of Professional for Emergency Assessment for Substance Abuse Services |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15789 |
|
| Ref-15790 |
CF-MH 4002 Report of Law Enforcement Officer Initiating Protective Custody |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15790 |
|
| Ref-15791 |
CF-MH 3100 Transportation to Receiving Facility |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15791 |
|
| Ref-15792 |
CF-MH 3111 Approval for Release of Person on Involuntary Status from a Receiving Facility |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15792 |
|
| Ref-15793 |
CF-MH 3038 Notice of Release or Discharge |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15793 |
|
| Ref-15801 |
CF-MH 3125 Application for Designation as a Receiving Facility |
http://www.flrules.org/Gateway/reference.asp?No=Ref-15801 |
|