Reference: Ref-12123

Reference Name: Annual Report, AHCA Form 3140-5005 OL, May 2018
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Original Document(s):
8/10/2020 Online annual report form for use by Hospitals and ambulatory surgical centers.
Modified Document(s): No Modified document(s).
Description: Online annual report form for use by Hospitals and ambulatory surgical centers.
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