CON Implementation and Monitoring

Forms

The Project Completion Forecast and Procedures for applying for extended use of sheltered skilled nursing beds forms are available for download in two formats: PDF and Microsoft Word.

Form Name Format Type
Project Completion Forecast PDF [789KB] MS Word [26KB]
15-Month Monitoring Report PDF [796KB] MS Word [36KB]
Procedures for applying for extended use of sheltered skilled nursing beds PDF [78KB] MS Word [34KB]

Hospice Forms

Please return the Semi-Annual Utilization Reports to the contact person listed below by the following dates:
Jan-Jun Report, on or before July 20th
Jul-Dec Report, on or before January 20th

Kathy W. Biddle
Agency for Health Care Administration Certificate of Need
2727 Mahan Drive, Mail Stop #28 Tallahassee, FL 32308
Phone: (850) 412-4343 FAX: (850) 922-6964
kathy.biddle@ahca.myflorida.com

Form Name Format Type
Semi-Annual Report of Hospice Utilization, Jan-Jun PDF [91KB] MS Word [52KB]
Semi-Annual Report of Hospice Utilization, Jul-Dec PDF [91KB] MS Word [52KB]