Florida Department of State and Division of Library and Information Services

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

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59A-35.110 		Reporting Requirements; Electronic Submission 25038724 Effective:
10/04/2021
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



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