Florida Administrative Code

Application for 911 Public Safety Telecommunicator Certification is done through DH Form 5066, 01/12, 911 Public Safety Telecommunicator Initial/Original Certificate Application, https://www.flrules.org/Gateway/reference.asp?No=Ref-01490, which is incorporated by reference and av…

An agency seeking to determine equivalency of their training program shall submit to the Department of Health a copy of their training curriculum and DH Form 5067, 01/12, 911 Public Safety Telecommunicator Training Course Equivalency Application, https://www.flrules.org/Gateway/r…

(1) To be eligible for renewal certification as a 911 emergency dispatcher, the applicant shall submit DH Form 5068, 01/12, Renewal/Change of Status 911 Public Safety Telecommunicator Certification Form, https://www.flrules.org/Gateway/reference.asp?No=Ref-01490, which is incorpo…

(1) Participation in the Florida Prescription Drug Donation Repository Program is optional. Nothing in this chapter requires medical facilities or pharmacies licensed in this state to donate, accept, or dispense prescription drugs or supplies pursuant to this chapter. (2) For the…

(1) To be eligible for participation as a repository in the prescription drug donation repository program, a medical facility or pharmacy must be in compliance with all applicable federal and state laws, including laws applicable to the storage and distribution of drugs and the a…

(1) Eligible donors, as defined by Section 465.1902(5), F.S., may donate legally obtained prescription drugs or supplies to a repository if the drugs or supplies meet the requirements of this rule. (2) Donors cannot donate, and repositories cannot accept: (a) Controlled substance…

(1) The inspecting pharmacist must complete DH9008-EPCS-07/2021 "Donation Form", which is incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-13987, which verifies that the donor and prescription drug or supply meets the criteria of Sec…

(1) A repository must collect from each eligible patient, a completed DH9005-EPCS-07/2021 "Patient Application and Dispensing Form", which is incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-13984. (2) The repository must maintain a …

(1) A repository must destroy all donated prescription drugs or supplies that are recalled, expired, or unsuitable for dispensing. (2) A repository must complete a DH9004-EPCS-07/2021, "Destruction of Drugs Form", which is incorporated by reference and available at https://www.fl…

Rulemaking Authority 893.055 FS. Law Implemented 893.055 FS. History-New 11-24-11, Repealed 12-11-19.

(1) The format for submission to the E-FORCSE® database shall be in accordance with the electronic reporting standards of the American Society for Automation in Pharmacy (ASAP) contained in the "Implementation Guide ASAP Standard for Prescription Drug Monitoring Programs Version …

(1) Definitions: (a) "Authenticate, Authenticated, or Authentication" means a confirmation of the authorized user's credentials by the prescription drug monitoring program of a state, district or territory. (b) "Designee" means a person, preferably a licensed or certified health …

(1) All non-exempt entities that dispense controlled substances as defined in Section 893.055(1)(c), F.S., are required to register and report to the program database. Orders for administration are exempt from reporting. (2) Dispensers must register electronically at https://pmpc…

(1) Breaches in database security discovered by the program manager or support staff must be reported to the Department's Chief Privacy Officer immediately upon discovery of the breach. Any system user who suspects or becomes aware of a breach in security must report the suspecte…

Rulemaking Authority 893.055 FS. Law Implemented 893.055 FS. History-New 11-24-11, Repealed 3-2-14.

(1) The following behavior indicates controlled substance abuse: A patient who within a 90-day time period: (1) obtains a prescription for a controlled substance as defined in Section 893.055(1)(c), F.S., from more than one prescriber; and (2) is dispensed a controlled substance …

(1) Definitions. (a) "Approved entity" means an eligible entity that has been approved by the department to connect an electronic health recordkeeping system directly to EFORCSE®. (b) "Authorized user" means a health care practitioner as defined in Section 893.055(1)(g), F.S., o…

(1) All delayed birth registrations must be accompanied by an Application for Florida Delayed Certificate of Birth, DH Form 521 (04/16), hereby incorporated by reference and available from the Florida Department of Health, State Office of Vital Statistics, P.O. Box 210, Jacksonvi…

(1) A request for an amendment to a birth certificate made pursuant to subsection (1), of Section 382.016, F.S., shall be submitted with an Application for Amendment to Florida Birth Record, DH Form 429 (04/16), hereby incorporated by reference and available from the Office of Vi…

(1) The following amendments do not require supporting documentary evidence: (a) Hour of birth, parent(s) age or date of birth, residence, mailing address; (b) Misspelling or transposition of letters in names of registrant or parent (s); (c) Changing a child's given name or surna…

(1) Any adoption entered by a court in this state shall be recorded on a Certified Statement of Final Decree of Adoption, DH Form 527 (04/16), hereby incorporated by reference and available from http://www.flrules.org/Gateway/reference.asp?No=Ref-07176, or from the Office of Vita…

(1) Any judgment establishing paternity entered by a Florida court pursuant to Section 742.10 or 382.015(2), F.S., or disestablishing paternity by a Florida court pursuant to Section 742.18, F.S., shall be recorded on a Certified Statement of Final Judgment of Paternity, DH Form …

(1) Any judgment of change of name entered in this state pursuant to subsection (5), of Section 68.07, F.S., shall be recorded on a Report of Legal Change of Name, DH Form 427 (04/16), hereby incorporated by reference and available from the department or https://www.flrules.org/G…

(1) A certified copy of a court order is required to change the name of a father if a father was listed on the original birth record in accordance with Section 382.013, F.S., or on an amended record filed pursuant to Section 382.015 or paragraph (1)(b), of Section 382.016, F.S. (…

(1) All birth records filed in this state pursuant to Section 382.013, F.S., shall be registered electronically on the department's electronic birth registration system or by means specified by the state registrar. A Certificate of Live Birth, DH Form 511 (04/16), hereby incorpor…

(1) All deaths except for fetal deaths filed pursuant to Section 382.008, F.S., shall be registered electronically on the department's electronic death registration system or by means specified by the state registrar. A Florida Certificate of Death, DH Form 512 (04/16), hereby in…

(1) Application to amend items shall be submitted with an Application for Amendment to Florida Death or Fetal Death Record, DH Form 524 (04/16), hereby incorporated by reference and available from the Florida Department of Health, State Office of Vital Statistics, P.O. Box 210, J…

To register a delayed death or fetal death certificate, the funeral director or person acting as such shall complete all parts of the Florida Certificate of Death, DH Form 512, July 04, or Florida Certificate of Fetal Death, DH Form 428, Jan. 06, both incorporated by reference in…

A presumptive death certificate shall be recorded on a Florida Certificate of Death, DH Form 512, July 04, which is incorporated by reference in Rule 64V-1.008, F.A.C., and shall be marked "Presumptive." The certificate shall be completed with as much personal identifying informa…

Burial-Transit Permits shall be applied for electronically or on an Application for Burial-Transit Permit, DH 326, Aug. 1997, incorporated by reference, and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-06482. The paper application, DH 326, shall be submitted t…

(1) All requests for certifications of vital record events listed below shall be submitted on the applications identified below or by submitting a request in writing that includes the information outlined in subsections (2) through (4), below. Applications and forms are available…

The fees for services provided are as follows: (1) Five dollars for the first calendar year of records searched or retrieved for a vital record and two dollars for each additional calendar year of records searched or retrieved, up to a maximum of fifty dollars. If the record is l…

Rulemaking Authority 381.0011(13) FS. Law Implemented 382.003(7), 390.0112 FS. History-New 11-11-98, Amended 7-18-00, Repealed 11-5-08.

A claim of paternity filed by an unmarried biological father as defined in Section 63.032(19), F.S., shall be made on a Florida Putative Father Registry Claim of Paternity, DH 1965, July 2012, incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp…

The department shall not rescind a vital record except for reason of duplication of an existing record. Rulemaking Authority 63.054(3), (10), (14), 63.062(1), 382.003(7) FS. Law Implemented 63.054 FS. History-New 11-11-98.

A Notification of Disposition of Fetal Demise, DH Form 1966, Oct. 2003, incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-06487, shall be issued to a mother by a health care practitioner in custody of fetal remains following a spontane…

Marriages occurring in Florida shall be recorded on an electronic system provided by the Department of Health or on a Marriage Record, DH Form 743, Jan. 2015, incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-05770. Both parties to a m…

Dissolution of Marriages shall be recorded on an electronic system provided by the Department of Health or on a Report of Dissolution of Marriage - Annulment of Marriage, DH Form 513, Jan. 2015, incorporated by reference and available at http://www.flrules.org/Gateway/reference.a…

Rulemaking Authority 382.003(10) FS. Law Implemented 382.003(5) FS. History-New 6-1-10, Repealed 3-6-16.

Rulemaking Authority 382.003(10) FS. Law Implemented 382.005(4) FS. History-New 6-1-10, Repealed 3-6-16.

Each subregistrar appointed by the Bureau of Vital Statistics shall sign an Application for Appointment of Subregistrar of Vital Statistics, DH 1233C, Oct. 2009, incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-06488. Rulemaking Autho…

Rulemaking Authority 382.003(10) FS. Law Implemented 382.005(3), 382.013 FS. History-New 6-1-10, Repealed 3-6-16.

For the purpose of this chapter, the words and phrases below are defined as follows: (1) "Conrad 30 Waiver Program" - Federal program authorized in 8 U.S.C. §1184(l) which allows for waiver of the 2-year foreign residence requirement. (2) "Critical Shortage" - Shortage of physici…

(1) Employer Eligibility. (a) The sponsoring facility/employer and all practice site locations must accept Florida Medicaid clients and be actively billing Florida Medicaid, whether through Fee-For-Service or as a Medicaid Managed Care Plan provider. All physicians at the practic…

(1) The following Conrad 30 Waiver Program documents must be completed and submitted to the Department to be evaluated for sponsorship: (a) A Florida DOH Sponsorship Application (DH8006-PHSPM-07/2022), incorporated by reference and available at https://www.flrules.org/Gateway/ref…

(1) The state's highest priority for sponsorship is Primary Care Physicians practicing in HPSAs at outpatient ambulatory care sites in rural communities, as defined in Section 381.0406, F.S., and serving a Medicaid patient volume of 30% or greater. (2) Applicants not practicing i…

(1) Application packages, as outlined in Rule 64W-1.004, F.A.C., will only be accepted beginning at 8:00 a.m. (EDT) on the first Monday of October and must be received no later than 5:00 p.m. (EDT) 10 business days, excluding state holidays or office closures, thereafter. Applica…

(1) The physician and employer may complete and submit to the Department the Conrad 30 Waiver Program Practice Status Report (DH8012-PHSPM-07/2021), incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-13381 and at http://www.floridaheal…

(1) In the event of a termination of employment, the employer must notify the Department in writing within 5 business days of the termination. (2) Contract changes which result in a change in practice scope must be presented in writing to the Department at least 10 business days …

(1) "Direct patient care" means face-to-face care with patients. Hours spent on-call or traveling are not considered direct patient care hours. Telehealth services provided to established patients may constitute direct patient care hours for no more than 50% of the applicant's we…