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wpb_content_element"><figure class="wpb_wrapper vc_figure"><div class="vc_single_image-wrapper vc_box_border_grey"><img decoding="async" width="110" height="117" src="https://flboardofmedicine.gov/wp-content/uploads/2012/09/subscribe_badge1.png" class="vc_single_image-img attachment-thumbnail" alt="Resource icon" title="" /></div></figure></div></div></div></div><div class="wpb_column vc_column_container vc_col-sm-9"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="wpb_text_column wpb_content_element" ><div class="wpb_wrapper"><p>Welcome to the <strong>Florida Board <em>of</em> Medicine</strong> Online Resources – a tool for accessing <strong>applications, forms, publications, statutes, rules</strong> and <strong>other important information</strong>.</p></div></div><div class="wpb_text_column wpb_content_element" ><div class="wpb_wrapper"><p><a class="button6" href="http://www.floridahealth.gov/licensing-and-regulation/declaratory/declaratory-statements.html" target="_blank" rel="noopener noreferrer">Declaratory Statements →</a></p><ul><li>Fillable PDF documents are not currently supported by the Firefox web browser. Please use an alternative web browser.</li></ul></div></div></div></div></div></div><div class="vc_row wpb_row vc_row-fluid"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="wpb_text_column wpb_content_element" ><div class="wpb_wrapper"><h3>Check Resources, Forms and Applications</h3></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Forms & Requests</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a href="https://flboardofmedicine.gov/forms/pa-prescribing-notification.pdf" target="_blank" rel="noopener">Physician Assistant Prescribing Notification</a> (PDF)</p><p><a title="Medical Doctor - Financial Responsibility Form" href="/forms/1351843_201311095919_MD_Financial_Responsibility_Form.pdf" target="_blank" rel="noopener noreferrer">Medical Doctor – Financial Responsibility Form</a> (PDF)</p><p><a title="Cataract Operation Informed Consent" href="/forms/info_COICF.pdf" target="_blank" rel="noopener noreferrer">Cataract Operation Informed Consent</a> (PDF)</p><p><a href="/forms/Medical-Doctor-Dispensing-Form.pdf">Medical Doctor Dispensing Registration</a> (PDF)</p><p><a href="/forms/frm_AdverseIncident.pdf" target="_blank" rel="noopener noreferrer">Physician Office Adverse Incident Report</a> (PDF)</p><p><a href="https://ww10.doh.state.fl.us/pub/medicine/PDF%20Forms%20on%20Web/APRN%20EMT%20Paramedic%20Protocol%20Form.pdf" target="_blank" rel="noopener noreferrer">APRN/EMT/Paramedic Protocol</a> (PDF)</p><p><a href="/forms/pa-disp-form.pdf" target="_blank" rel="noopener noreferrer">Physician Assistant Dispensing Form</a> (PDF)</p><p><a title="Anesthesiologist Assistant Protocol Form" href="/forms/AA-Protocol-Form.pdf" target="_blank" rel="noopener noreferrer">Anesthesiologist Assistant Protocol Form </a>(PDF)</p><p><a title="Anesthesiologist Assistant Responsibility Form" href="https://flboardofmedicine.gov/forms/AA-Financial-Responsibility-Form.pdf" target="_blank" rel="noopener noreferrer">Anesthesiologist Assistant Financial Responsibility Form</a> (PDF)</p><p><a title="CME Requirements for Renewal of Physician Assistant License" href="/forms/cme-requirements-for-pa-license-renewal.pdf" target="_blank" rel="noopener noreferrer">CME Requirements for Renewal of Physician Assistant License</a> (PDF)</p><p><a title="Medical Marijuana Consent Form (pdf). Opens in a new window." href="/forms/medical-marijuana-consent-form.pdf" target="_blank" rel="noopener noreferrer">Medical Marijuana Consent Form</a> (pdf)</p><p><a href="/forms/statutorily-required-documentation_revised%204-20.pdf" target="_blank" rel="noopener">Statutorily Required Documentation</a></p><p><a title="Statutorily required documentation (pdf). Opens in a new window." href="/forms/qualifiedphysicians-feb19.pdf" target="_blank" rel="noopener noreferrer">Information sent to Qualified Physicians – Feb 2019</a> (pdf)</p><p><a title="Summary of Physician Licensure Types (pdf). Opens in a new window." href="http://www.floridahealth.gov/licensing-and-regulation/office-surgery-registration/applications-forms/_documents/scope-pract-os-regis.pdf" target="_blank" rel="noopener noreferrer">Summary of Physician Licensure Types</a></p><p><a title="Statutorily required documentation - Smokable Medical Marijuana (pdf). Opens in a new window." href="/forms/statutorily-required-documentation-mm.pdf" target="_blank" rel="noopener noreferrer">Statutorily required documentation – Smokable Medical Marijuana</a></p><p><a title="Electronic Prescribing Waiver. Opens in a new window" href="/forms/Electronic-Prescribing-Waiver.pdf" target="_blank" rel="noopener noreferrer">Electronic Prescribing Waiver</a> (PDF)</p><p><a href="https://flboardofmedicine.gov/forms/exhibit-i-form.pdf" target="_blank" rel="noopener">Exhibit I Form</a></p><p><a href="/forms/physician-assistant-program-verification-request.pdf">Physician Assistant Program Verification Request</a> (PDF)</p><p><strong>General Forms</strong></p><p><a href="/forms/change-address-form-bom.pdf" target="_blank" rel="noopener noreferrer">Address Change Form</a> (PDF) (Optional)</p><p><a href="/forms/change-name-form-bom.pdf" target="_blank" rel="noopener noreferrer">Name Change Form</a> (PDF) (Optional)</p><p><a href="/interested-in-becoming-an-expert-witness/">Expert Witness Application – Work for the Department</a></p><p><strong>Informed Consent Forms</strong></p><p><a href="/forms/Masculinizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Informed-Consent.pdf">Masculinizing Medications for Patients with Gender Dysphoria – Patient Information and Informed Consent Form</a> (PDF)</p><p><a href="/forms/Masculinizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Parental-Consent-and-Assent-for-Minors.pdf">Masculinizing Medications for Patients with Gender Dysphoria</a><a href="/forms/Masculinizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Informed-Consent.pdf"> – </a><a href="/forms/Masculinizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Parental-Consent-and-Assent-for-Minors.pdf">Patient Information and Parental Consent and Assent for Minors</a> (PDF)</p><p><a href="/forms/Puberty-Suppression-Treatment-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Parental-Consent-and-Assent-for-Minors.pdf">Puberty Suppression Treatment for Patients with Gender Dysphoria</a><a href="/forms/Masculinizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Informed-Consent.pdf"> – </a><a href="/forms/Puberty-Suppression-Treatment-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Parental-Consent-and-Assent-for-Minors.pdf">Patient Information and Parental Consent and Assent for Minors</a> (PDF)</p><p><a href="/forms/Surgical-Treatment-for-Adults-with-Gender-Dysphoria-Patients-Information-and-Informed-Consent.pdf">Surgical Treatment for Adults with Gender Dysphoria – Patient Information and Informed Consent</a> (PDF)</p><p><a href="/forms/Feminizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Informed-Consent.pdf">Feminizing Medications for Patients with Gender Dysphoria</a><a href="/forms/Masculinizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Informed-Consent.pdf"> – </a><a href="/forms/Feminizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Informed-Consent.pdf">Patient Information and Informed Consent</a> (PDF)</p><p><a href="/forms/Feminizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Parental-Consent-and-Assent-for-Minors.pdf">Feminizing Medications for Patients with Gender Dysphoria</a><a href="/forms/Masculinizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Informed-Consent.pdf"> – </a><a href="/forms/Feminizing-Medications-for-Patients-with-Gender-Dysphoria-Patient-Information-and-Parental-Consent-and-Assent-for-Minors.pdf">Patient Information and Parental Consent and Assent for Minors</a> (PDF)</p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Medical PDF Applications</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a href="/apps/Medical_Doctor_Application%20_1-17-2024.pdf" target="_blank" rel="noopener noreferrer">Medical Doctor Application</a></p><p><a href="/apps/intern-resident-trn-app.pdf" target="_blank" rel="noopener noreferrer">Intern/Resident/Fellow & House Physician – Registration & Renewal</a></p><p><a href="/apps/Current%20-%20Graduate%20Assistant%20Physician.pdf">Graduate Assistant Physician</a></p><p><a href="/apps/Limited-License-app.pdf" target="_blank" rel="noopener noreferrer">Limited License Application</a></p><p><a href="/apps/Are-Crit-Need-app.pdf" target="_blank" rel="noopener noreferrer">Area of Critical Need Application</a></p><p><a href="/forms/rear-admiral-app-Active%20Duty%20Military%20and%20Veterans.pdf" target="_blank" rel="noopener noreferrer">Rear Admiral Leroy Collins Jr. Temporary Certificate for Active Duty Military and Veterans Application</a></p><p><a href="/apps/app-medical-faculty-certificate.pdf" target="_blank" rel="noopener noreferrer">Medical Faculty Certificate Application</a></p><p><a href="/apps/temporary-certificate-for-visiting-physicians-to-obtain-medical-privileges-for-instructional-purposes.pdf" target="_blank" rel="noopener noreferrer">Temporary Certificate for Visiting Physician (Plastic Surgery/Other Medical/Surgical Trn.)</a></p><p><a title="Application for Temporary Certificate for Visiting Physicians in Cancer Centers. Opens in new window. (pdf)" href="/apps/temp-cert-visiting-physician-cancer.pdf" target="_blank" rel="noopener">Temporary Certificate for Visiting Physicians in Cancer Centers</a></p><p><a title="Application for Public Health Certificate. Opens in new window. (pdf)" href="/apps/app-public-health-certificate.pdf" target="_blank" rel="noopener">Public Health Certificate</a></p><p><a href="/pdfs/public-psychiatry-certificate.pdf" target="_blank" rel="noopener">Public Psychiatry Certificate</a></p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Physician Assistant PDF Applications</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a href="/apps/physician-assistant-initial-app.pdf" target="_blank" rel="noopener noreferrer">Physician Assistant Initial Application</a></p><p><a href="/apps/physician-assistant-temporary-certificate-to-practice-in-area-of-critical-need.pdf" target="_blank" rel="noopener">Physician Assistant Temporary Certificate to Practice in an Area of Critical Need</a></p><p><a title="Extension of Temporary Licensure Application" href="/apps/PA-Ext-Temp-App.pdf" target="_blank" rel="noopener noreferrer">Extension of Temporary Physician Assistant Licensure Application</a></p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Anesthesiologist Assistant PDF Applications</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a href="/apps/AnesAsstapp.pdf" target="_blank" rel="noopener noreferrer">Anesthesiologist Assistant application</a> (PDF)</p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Office Surgery Registration Applications and Forms</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a title="Office Surgery Registration Application (pdf) Opens in a new window." href="/apps/Office%20Surgery%20Registration%20Application%208-2024.pdf" target="_blank" rel="noopener noreferrer">Office Surgery Registration Application</a></p><p><a href="/forms/MQA%20Online%20Services%20User%20Guide%20-%20OSR.pdf">MQA Online Services Portal: Professional Liability Coverage User Guide</a></p><p><a href="https://flboardofmedicine.gov/apps/office-surgery-registration-application-8-2024-signature-page.pdf" target="_blank" rel="noopener">Office Surgery Registration Signature Page</a></p><p><a title="Physician Office Adverse Incident Report (pdf). Opens in a new window." href="/forms/frm_AdverseIncident.pdf" target="_blank" rel="noopener noreferrer">Physician Office Adverse Incident Report</a></p><p><a title="Pause/Time-Out Form (pdf). Opens in a new window." href="http://www.floridahealth.gov/licensing-and-regulation/office-surgery-registration/applications-forms/_documents/pause-timeout-os-regis.pdf" target="_blank" rel="noopener noreferrer">Pause/Time-Out Form</a></p><p><a title="Surgical Logs (pdf). Opens in a new window." href="http://www.floridahealth.gov/licensing-and-regulation/office-surgery-registration/applications-forms/_documents/surgical-log-os-regis.pdf" target="_blank" rel="noopener noreferrer">Surgical Logs</a></p><p>You may send the completed application, including documentation, by mail:</p><p>Department of Health<br /> Board of Medicine<br /> Post Office Box 6330<br /> Tallahassee, Florida 32314-6330</p><p>If you need assistance, please contact the board office at 850-245-4131 or send an email to <a href="mailto:PMC_OSR@flhealth.gov" target="_blank" rel="noopener noreferrer">PMC_OSR@flhealth.gov</a>.</p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Pain Management Clinic Applications and Forms</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a title="Registration Application. Opens in a new window. (pdf - 114kb)" href="/pdfs/PMC-registration-application.pdf" target="_blank" rel="noopener noreferrer">Registration Application</a></p><p><a title="Mandatory Insert for 456.0635 Questions – Facility. Opens in a new window. (pdf - 10kb)" href="/forms/Mandatory_456_Facility.pdf" target="_blank" rel="noopener noreferrer">Mandatory Insert for 456.0635 Questions – Facility</a></p><p><a title="Data Reporting Form. Opens in a new window. (pdf - 267kb)" href="http://www.floridahealth.gov/licensing-and-regulation/pain-management-clinics/_documents/pain-management-clinic-data-reporting-form.pdf" target="_blank" rel="noopener noreferrer">Data Reporting Form</a></p><p><a title="Inspection Form. Opens in a new window. (pdf - 147kb)" href="http://www.floridahealth.gov/licensing-and-regulation/pain-management-clinics/_documents/pmc-inspection-form.pdf" target="_blank" rel="noopener noreferrer">Inspection Form</a></p><p><a href="https://www.floridahealth.gov/licensing-and-regulation/pain-management-clinics/Exemption-Pain-Management-Clinic-Registration-Application-Current-6-2020.pdf" target="_blank" rel="noopener">Application for Certificate of Exemption</a></p><p>SUBMITTING THE APPLICATION FOR EXEMPTION FROM PAIN MANAGEMENT CLINIC REGISTRATION</p><p>You may send the completed application, including documentation, by mail:</p><p>Department of Health<br /> Board of Medicine<br /> Post Office Box 6330<br /> Tallahassee, Florida 32314-6330</p><p>If you need assistance, please contact the board office at 850-245-4131 or send an email to <a href="mailto:PMC_OSR@flhealth.gov">PMC_OSR@flhealth.gov</a>.</p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Associations & Organizations</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a style="line-height: 1.5em;" href="https://flprn.org/" target="_blank" rel="noopener noreferrer">Professionals Resource Network</a></p><p><a style="line-height: 1.5em;" title="This opens in a new window." href="https://www.ama-assn.org/" target="_blank" rel="noopener noreferrer">American Medical Association</a></p><p><a href="https://www.abpsus.org/" target="_blank" rel="noopener noreferrer">American Association of Physician Specialists/American Board of Physician Specialties</a></p><p><a href="https://www.abipp.org/" target="_blank" rel="noopener noreferrer">American Board of Interventional Pain Physicians</a></p><p><a title="This opens in a new window." href="http://www.fsmb.org/" target="_blank" rel="noopener noreferrer">Federation of State Medical Boards</a></p><p><a title="This opens in a new window." href="http://www.fha.org/" target="_blank" rel="noopener noreferrer">Florida Hospital Association</a></p><p><a title="This opens in a new window." href="https://www.flmedical.org/florida/" target="_blank" rel="noopener noreferrer">Florida Medical Association</a></p><p><a title="This opens in a new window." href="https://www.fsahq.org/" target="_blank" rel="noopener noreferrer">Florida Society of Anesthesiologists</a></p><p><a title="This opens in a new window." href="https://www.floridaaaa.org/" target="_blank" rel="noopener noreferrer">Florida Academy of Anesthesiologist Assistants</a></p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Florida Statutes & Administrative Codes</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><em>Click on Chapter or Section Number to View</em></p><p><strong>Florida Statutes</strong></p><p><a title="Chapter 458: Medical Practice" href="http://www.leg.state.fl.us/STATUTES/index.cfm?App_mode=Display_Statute&URL=0400-0499/0458/0458ContentsIndex.html&StatuteYear=2023&Title=%2D%3E2023%2D%3EChapter%20458" target="_blank" rel="noopener noreferrer">Chapter 458:</a> Medical Practice</p><p><a title="Chapter 456: Health Professions and Occupations: General Provisions" href="http://www.leg.state.fl.us/STATUTES/index.cfm?App_mode=Display_Statute&URL=0400-0499/0456/0456ContentsIndex.html&StatuteYear=2023&Title=%2D%3E2023%2D%3EChapter%20456" target="_blank" rel="noopener noreferrer">Chapter 456:</a> Health Professions and Occupations: General Provisions</p><p><a title="Chapter 120: Administrative Procedure Act" href="http://www.leg.state.fl.us/STATUTES/index.cfm?App_mode=Display_Statute&URL=0100-0199/0120/0120ContentsIndex.html&StatuteYear=2023&Title=%2D%3E2023%2D%3EChapter%20120" target="_blank" rel="noopener noreferrer">Chapter 120:</a> Administrative Procedure Act</p><p><a title="Chapter 395: Hospital Licensing and Regulation" href="http://www.leg.state.fl.us/STATUTES/index.cfm?App_mode=Display_Statute&URL=0300-0399/0395/0395ContentsIndex.html&StatuteYear=2023&Title=%2D%3E2023%2D%3EChapter%20395" target="_blank" rel="noopener noreferrer">Chapter 395:</a> Hospital Licensing and Regulation</p><p><a title="Chapter 400: Nursing Homes and Related Health Care Facilities" href="http://www.leg.state.fl.us/STATUTES/index.cfm?App_mode=Display_Statute&URL=0400-0499/0400/0400ContentsIndex.html&StatuteYear=2023&Title=%2D%3E2023%2D%3EChapter%20400" target="_blank" rel="noopener noreferrer">Chapter 400: </a>Nursing Homes and Related Health Care Facilities</p><p><a title="Chapter 893: Drug Abuse Prevention and Control" href="http://www.leg.state.fl.us/STATUTES/index.cfm?App_mode=Display_Statute&URL=0800-0899/0893/0893ContentsIndex.html&StatuteYear=2023&Title=%2D%3E2023%2D%3EChapter%20893" target="_blank" rel="noopener noreferrer">Chapter 893: </a>Drug Abuse Prevention and Control</p><p><strong>Florida Administrative Codes</strong></p><p><a class="fancybox-iframe" title="Chapter 64B8: Board of Medicine" href="https://www.flrules.org/gateway/organization.asp?id=331" target="_blank" rel="noopener noreferrer">Chapter 64B8:</a> Board of Medicine</p><p><a class="fancybox-iframe" title="hapter 64B: Division of Medical Quality Assurance" href="https://www.flrules.org/gateway/division.asp?DivID=299" target="_blank" rel="noopener noreferrer">Chapter 64B:</a> Division of Medical Quality Assurance</p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Media & Publications</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><strong>Physicians Assistant Workforce Survey Report</strong><br /> <a title="2019 - 2021 Physician Assistant Workforce Survey. Opens in new window. (pdf - 1.3mb)" href="/pdfs/2022-24physician-assistant-workforce-survey-report.pdf" target="_blank" rel="noopener">2022 – 2024 Physician Assistant Workforce Survey</a> (pdf)</p><p><a href="http://www.floridahealth.gov/licensing-and-regulation/practitioner-profile/resources/_documents/practitioners-guide.pdf" target="_blank" rel="noopener noreferrer">Guide to Florida’s Practitioner Profile</a></p><p><strong>BOM Annual Reports</strong><br /> <a title="Opens in a new window." href="/forms/annual-report-1516.pdf" target="_blank" rel="noopener noreferrer">2015-2016 </a>(pdf)<br /> <a title="Opens in a new window." href="/forms/annual-report-1314.pdf" target="_blank" rel="noopener noreferrer">2013-2014 </a>(pdf)<br /> <a title="Opens in a new window." href="/forms/annual-report-1213.pdf" target="_blank" rel="noopener noreferrer">2012-2013 </a>(pdf)<br /> <a title="Opens in a new window." href="/forms/annual-report-1112.pdf" target="_blank" rel="noopener noreferrer">2011-2012</a> (pdf)<br /> <a title="Opens in a new window." href="/forms/annual-report-1011.pdf" target="_blank" rel="noopener noreferrer">2010-2011</a> (pdf – 175kb)<br /> <a title="Opens in a new window." href="/forms/annual-report-0910.pdf" target="_blank" rel="noopener noreferrer">2009-2010</a> (pdf – 198kb)<br /> <a title="Opens in a new window." href="/forms/annual-report-0809.pdf" target="_blank" rel="noopener noreferrer">2008-2009</a> (pdf – 147kb)</p><p><strong>Board Brief</strong></p><p style="padding-left: 30px;"><a title="Opens in a new window." href="/forms/message-chair-060112.pdf" target="_blank" rel="noopener noreferrer">June 2012 Message</a></p><p><a href="/forms/message-chair-050112.pdf" target="_blank" rel="noopener noreferrer">May 2012 Message</a><br /> (pdf – 25kb)<br /> <a href="/forms/message-chair-040112.pdf" target="_blank" rel="noopener noreferrer">April 2012 Message</a><br /> (pdf – 25kb)<br /> <a href="/forms/message-chair-020112.pdf" target="_blank" rel="noopener noreferrer">February 2012 Message</a><br /> (pdf – 25kb)<br /> <a href="/forms/message-chair-120111.pdf" target="_blank" rel="noopener noreferrer">December 2011 Message</a><br /> (pdf – 25kb)</p><p><a href="/forms/message-chair-100111.pdf" target="_blank" rel="noopener noreferrer">October 2011 Message</a><br /> (pdf – 25kb)<br /> <a href="/forms/message-chair-060111.pdf" target="_blank" rel="noopener noreferrer">June 2011 Message</a><br /> (pdf – 54kb)<br /> <a href="/forms/message-chair-050111.pdf" target="_blank" rel="noopener noreferrer">May 2011 Message</a><br /> (pdf – 33kb)</p><p><a href="/forms/message-chair-012011.pdf" target="_blank" rel="noopener noreferrer">January 2011 Message</a><br /> (pdf – 42kb)</p><p><strong>Physician Certification Pattern Review Panel Annual Report</strong><br /> <a title="January 1, 2019 Physician Certification Pattern Review Panel Annual Report. Opens in a new window." href="/forms/PCPRP-annual-report-2019.pdf" target="_blank" rel="noopener noreferrer">January 1, 2019 Report</a><br /> (pdf – 6.9mb)</p><p><a title="January 1, 2020 Physician Certification Pattern Review Panel Annual Report. Opens in a new window." href="http://ww10.doh.state.fl.us/pub/medicine/Annual%20Reports/Physician%20Certification%20Pattern%20Review%20Panel%20Annual%20Report/January%201,%202020%20Report.pdf" target="_blank" rel="noopener noreferrer">January 1, 2020 Report</a><br /> (pdf – 4kb)</p><p><strong>January 1, 2021 Report</strong><br /> <a href="/pdfs/Physician-Certification-Pattern-Review-2021-Annual-Report.pdf">Physician Certification Pattern Review 2021 Annual Report</a><br /> (pdf – 2mb)</p><p><a href="/pdfs/Data-Tables-for-Physician-Certification-Pattern-Review-2021-Annual-Report.pdf">Data Tables for Physician Certification Pattern Review 2021 Annual Report</a><br /> (pdf – 3mb)</p><p><strong>January 1, 2022 Report</strong><br /> <a title="Physician Certification Pattern Review 2022 Annual Report. Opens in new window. (pdf - 1.7mb)" href="/pdfs/012022-PCPR-PanelAR.pdf" target="_blank" rel="noopener">Physician Certification Pattern Review 2022 Annual Report</a><br /> (pdf – 1.7mb)</p><p><a title="Data Tables for Physician Certification Pattern Review 2022 Annual Report. Opens in new window. (pdf - 2.9mb)" href="/pdfs/012022-Data-Tables-PCPR-Annual-Report.pdf" target="_blank" rel="noopener">Data Tables for Physician Certification Pattern Review 2022 Annual Report</a><br /> (pdf – 2.9mb)</p><p><strong>January 1, 2023 Report</strong><br /> <a title="Physician Certification Pattern Review 2023 Annual Report. Opens in new window. (pdf - 1.7mb)" href="/pdfs/03022023-PCPR.pdf" target="_blank" rel="noopener">Physician Certification Pattern Review 2023 Annual Report</a><br /> (pdf – 2.23mb)</p><p><a title="Data Tables for Physician Certification Pattern Review 2023 Annual Report. Opens in new window. (pdf - 2.9mb)" href="/pdfs/03022023-Data%20Tables.pdf" target="_blank" rel="noopener">Data Tables for Physician Certification Pattern Review 2023 Annual Report</a><br /> (pdf – 5.2mb)</p><p><strong>January 1, 2024 Report</strong><br /> <a title="Physician Certification Pattern Review 2023 Annual Report. Opens in new window. (pdf - 1.7mb)" href="/pdfs/12142023-PCPRPAR-Annual-Report.pdf" target="_blank" rel="noopener">Physician Certification Pattern Review 2024 Annual Report</a><br /> (pdf – 8.1mb)</p><p><a title="Data Tables for Physician Certification Pattern Review 2023 Annual Report. Opens in new window. (pdf - 2.9mb)" href="/pdfs/12142023-PCPRP-Data-Tables-Annual-Report.pdf" target="_blank" rel="noopener">Data Tables for Physician Certification Pattern Review 2024 Annual Report</a><br /> (pdf – 9.2mb)</p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Helpful Links</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a title="Information on Nonopioid Alternatives for the Treatment of Pain. Opens in new window." href="http://www.floridahealth.gov/programs-and-services/non-opioid-pain-management/index.html" target="_blank" rel="noopener noreferrer">Information on Nonopioid Alternatives for the Treatment of Pain</a></p><p><a href="http://www.floridahealth.gov/licensing-and-regulation/enforcement/admin-complaint-process/compliance-management.html" target="_blank" rel="noopener noreferrer">Compliance Management</a></p><p><a href="/latest-news/human-trafficking/" target="_blank" rel="noopener noreferrer">Human Trafficking</a></p><p><a href="https://www.flhealthsource.gov/background-screening" target="_blank" rel="noopener noreferrer">Background Screening</a></p><p><a href="http://www.floridahealth.gov/licensing-and-regulation/declaratory/index.html" target="_blank" rel="noopener noreferrer">Declaratory Statements/Variance</a></p><p><a title="Login to MQA Online services here. Opens in a new window." href="https://mqa-vo.doh.state.fl.us/datamart/voservicesportal" target="_blank" rel="noopener noreferrer">MQA Online Services</a></p><p><a title="Disease Reporting Information for Health Professionals" href="http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/index.html" target="_blank" rel="noopener noreferrer">Report cases, disease or condition public health significance</a></p><p><a title="Livescan Providers." href="https://www.flhealthsource.gov/background-screening">Livescan Service Providers</a></p><p><a title="Counterfeit-Proof Prescription Program " href="http://www.floridahealth.gov/licensing-and-regulation/counterfeit-proof-prescription-pad-vendors/index.html" target="_blank" rel="noopener noreferrer">Counterfeit-Proof Prescription Pad Vendors</a></p><p><a style="line-height: 1.5em;" href="http://www.floridahealth.gov/statistics-and-data/e-forcse/" target="_blank" rel="noopener noreferrer">Florida’s Prescription Drug Monitoring Program (E-FORCSE)</a></p><p><a style="line-height: 1.5em;" title="This opens in a new window." href="https://www.npdb.hrsa.gov/resources/hipdbArchive.jsp" target="_blank" rel="noopener noreferrer">Healthcare Integrity and Protection Data Bank (HIPDB)</a></p><p><a title="Practitioner Profile" href="http://www.floridahealth.gov/licensing-and-regulation/practitioner-profile/index.html" target="_blank" rel="noopener noreferrer">Practitioner Profile</a></p><p><a href="http://www.floridahealth.gov/about/sunshine-info/public-records-requests/index.html" target="_blank" rel="noopener noreferrer">Public Records</a></p><p><a href="https://www.flhealthsource.gov/" target="_blank" rel="noopener noreferrer">FLHealthSource</a></p><p><a href="https://www.flhealthsource.gov/license-certification" target="_blank" rel="noopener noreferrer">License Certification</a></p><p><a href="https://mqa-internet.doh.state.fl.us/MQASearchServices/Home">License Look-Up</a></p><p><a href="http://www.floridahealth.gov/licensing-and-regulation/reports-and-publications/index.html" target="_blank" rel="noopener noreferrer">Reports and Publications</a></p><p><a href="http://www.floridahealth.gov/environmental-health/radon/certification/_documents/HP_Radon_Guide_2018_FINAL_CRCPD%20E-18-2.pdf" target="_blank" rel="noopener noreferrer">Radon Guide for Health Care Providers</a></p><p><b>HIPAA Federal agency sources:</b><br /> <a href="https://www.hhs.gov/hipaa/index.html" target="_blank" rel="noopener noreferrer">HHS.Gov- Health Information Privacy</a></p><p><b>HIPAA Statute and Rule Information:</b><br /> <a href="https://www.hhs.gov/hipaa/for-professionals/index.html" target="_blank" rel="noopener noreferrer">HHS.Gov- HIPAA Statute and Rule Information</a></p><p><a title="Donation and Human Transfer of Human Tissue pamphlet (pdf 633kb). Opens in new window." href="/forms/HCT-P-Transplatation-Brochure.pdf" target="_blank" rel="noopener noreferrer">Donation and Human Transfer of Human Tissue pamphlet</a></p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Office of Medical Marijuana Use</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a title="Office of Medical Marijuana Use Website" href="https://knowthefactsmmj.com/" target="_blank" rel="noopener noreferrer">Office of Medical Marijuana Use Website</a></p><p><a title="January 1, 2019 Physician Certification Pattern Review Panel Annual Report. Opens in a new window." href="/forms/PCPRP-annual-report-2019.pdf" target="_blank" rel="noopener noreferrer">January 1, 2019 Physician Certification Pattern Review Panel Annual Report</a></p><p><a title="January 1, 2020 Physician Certification Pattern Review Panel Annual Report. Opens in a new window." href="http://ww10.doh.state.fl.us/pub/medicine/Annual%20Reports/Physician%20Certification%20Pattern%20Review%20Panel%20Annual%20Report/January%201,%202020%20Report.pdf" target="_blank" rel="noopener noreferrer">January 1, 2020 Physician Certification Pattern Review Panel Annual Report</a></p><p><a href="/forms/know-facts-about-patients.pdf">Know the Facts about Patients</a> (pdf)</p><p><a href="/forms/know-facts-about-qualified-physicians.pdf">Know the Facts about Qualified Physicians</a> (pdf)</p><p><a href="/forms/know-facts-about-legal-use.pdf">Know the Facts about Legal Use</a> (pdf)</p><p><a title="Medical Marijuana Consent Form (pdf). Opens in a new window." href="/forms/medical-marijuana-consent-form.pdf" target="_blank" rel="noopener noreferrer">Medical Marijuana Consent Form</a> (pdf)</p><p><a href="/forms/statutorily-required-documentation_revised%204-20.pdf">Statutorily required documentation</a></p><p><a href="/forms/statutorily-required-documentation-mm.pdf">Statutorily required documentation – Smokable Medical Marijuana</a></p></div></div><div class="vc_do_toggle vc_toggle vc_toggle_default vc_toggle_color_default vc_toggle_size_md"><div class="vc_toggle_title"><h4>Office of Vital Statistics (Death Certificates)</h4><i class="vc_toggle_icon"></i></div><div class="vc_toggle_content"><p><a title="Florida Death Certificate Information. Opens in new window." href="/pdfs/practitioner-info-florida-death-certificate.pdf" target="_blank" rel="noopener">What the Practitioner Should Know about Certifying Cause of Death on the Florida Death Certificate</a> (pdf)</p><p><a title="EDRS Informational Brochure. Opens in new window." href="/pdfs/EDRS-informational-brochure.pdf" target="_blank" rel="noopener">Electronic Death Registration System EDRS Informational Brochure</a> (pdf)</p><p><a title="CUCA Form. Opens in new window." href="/forms/CUCA-form.pdf" target="_blank" rel="noopener">Computer Use and Confidentiality Agreement</a> (pdf)</p><p><a title="Citric Access Form. Opens in new window." href="/forms/citrix-access-form.pdf" target="_blank" rel="noopener">Citrix Remote Access Form</a> (pdf)</p></div></div></div></div></div><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"></div></div></div></div><div class="vc_row wpb_row vc_row-fluid"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="wpb_text_column wpb_content_element" ><div class="wpb_wrapper"><p><a title="Telehealth Information. Opens in a new window" href="https://www.flhealthsource.gov/telehealth/" target="_blank" rel="noopener noreferrer">Telehealth Information & Out-of-State Telehealth Provider Registration</a></p></div></div></div></div></div></div></div></div></article><div style="text-align:center;"> <img src="https://flboardofmedicine.gov/wp-content/themes/dohboards/img/divider.png" alt="" width="533" height="15" /></div> <a name="email"></a><div style="font-size: 18px;text-align:center;"><strong>Subscribe <em>&</em> Receive Updates <em>via</em> Email!</strong></div><div style="text-align:center;"> <img src="https://flboardofmedicine.gov/wp-content/themes/dohboards/img/divider.png" alt="" width="533" height="15" /></div><p><strong style="letter-spacing:-1px;font-size:16px;">Don’t have time to check the Board’s website for new information?</strong> Subscribe to receive an email when new posts are added to the website. 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