Reference: Ref-08780

Reference Name: Ambulatory Surgical Center Adverse Incident, AHCA Form 3140-5004 OL, April 2017
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Original Document(s):
10/9/2017 Ambulatory Surgical Center Adverse Incident, AHCA Form 3140-5004 OL, April 2017
Modified Document(s): No Modified document(s).
Description: Ambulatory Surgical Center Adverse Incident, AHCA Form 3140-5004 OL, April 2017
Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
59A-35.110
Reporting Requirements; Electronic Submission 24115866 Effective:
02/02/2021
View Text Final
59A-35.110
Reporting Requirements; Electronic Submission 19620013 Effective:
11/13/2017