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It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

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Applications and Forms

Division of Medical Quality Assurance

Office Surgery Registration ApplicationNEW (pdf)

Office Surgery Registration Application (pdf) - CURRENTLY REGISTERED WITH THE DEPARTMENT – Complete the highlighted portions of the application. You may send the completed application to PMC_OSR@flhealth.gov.

Physician Office Adverse Incident Report (pdf)

Pause/Time-Out Form (pdf)

Surgical Logs (pdf)

Summary of Physician Licensure Types (pdf)