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Business Location » FL » Brevard » Scottsmoor » Home Health Care License » Health Care Licensing Application Addendum Form »

Home Health Care License:

Health Care Licensing Application Addendum Form

The following special signature/seal are required: ( Notary Public )

The cost of the form & instructions is $19.99

Submit Online ($49.99) Not available on this form The application needs to be notarized.
	Online submission is fast & easy Upload any attachments Sign your forms online Click a button to submit

Print and Mail
	Print your forms Sign them Mail to provided authority

Used For:

Additional Documents:

Frequently Asked Questions Homemaker And Companion Services

Homemaker Companion Services State Regulation Set

Homemaker Companion Services Florida Statutes

Health Care Licensing Procedures Act

Registration Requirements for Homemaker, Companion, and Sitter Agencies

PROOF OF FINANCIAL ABILITY TO OPERATE (PFA)

Background Screening Notice

Fact Sheet On Home Health Care Aides

Additional Docs (Add $19.99)

May include important information to help you fill out the form. See list of available documents to your right.

TOTAL:

$19.99

How is this Calculated?

The pricing schedule is as follows:
Form and instructions	$19.99
Associated documents, such as schedules, ordinances, statutes, etc	$19.99
Electroning Filing	$49.99

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