Florida Department of State and Division of Library and Information Services

Reference: Ref-06017

Reference Name: Nursing Home Transfer and Discharge Notice, AHCA Form 3120-0002, April 2014
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s):
4/5/2023 Technical change for an address update for DCF listed on two forms incorporated in Rule 59A-4.106.
Original Document(s):
10/15/2015 Nursing Home Transfer and Discharge Notice, AHCA Form 3120-0002, April 2014
Description: Nursing Home Transfer and Discharge Notice, AHCA Form 3120-0002, April 2014

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-4.106 		Facility Policies 16858714 Effective:
12/21/2015



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