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Council of Licensed Midwifery
Customer Contact CenterCouncil OfficeMailing Address (applications)-
Council of Licensed Midwifery
PO Box 6330
Tallahassee, FL 32314
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Council of Licensed Midwifery
4052 Bald Cypress Way, Bin C-06
Tallahassee, FL 32399-3255
Welcome to the Florida Council of Licensed Midwifery Online Resources – a tool for accessing applications, forms, statutes, rules and other important information.
Frequently Asked Questions:
Answers common questions for applicants, licensees, and the general public, with topics such as:
- Council Meetings and agendas
- License Verifications and Filing Complaints
- NARM Examination information
Note: This page contains materials in Portable Document Format (PDF). Adobe Reader may be required to view these files.
- Associations and Organizations
- Forms and Resources
- HIPAA Information
- Laws and Rules
Midwifery Education Accreditation Council (MEAC)
1935 Pauline Blvd., Suite 100B
Ann Arbor, MI 41803
http://meacschools.org/
Midwives Alliance of North America (MANA)
P.O. Box 175
Newton, KS 67114
(888) 923-6262
https://mana.org/
Midwives Association of Florida
1100 Sunset Strip, Suite 8
Sunrise, FL 33313
(954) 581-8126
https://floridalovesmidwives.org/
National Association of Certified Professional Midwives
Testing Department
P.O. Box 7703
Little Rock, AR 72217
(888) 353-7089
http://www.narm.org/
For Applicants
- DH-MQA 1112 Out-of-State Midwife Applicant Evaluation Tool (pdf)
- DH-MQA 1111 Foreign-Trained Midwife Applicant Evaluation Tool (pdf)
- DH-MQA 1051 Application for Midwifery Licensure by Examination (pdf)
- DH‐MQA 5058 Application for Midwifery Licensure by Endorsement (pdf)
- DH-MQA 5013 Temporary Certificate Application to Practice in Areas of Critical Need (Rev. 08/15) (pdf)
- Address Change Form (pdf)
- Name Change Form (pdf)
Reporting and Practice
- DH-MQA 5011 Annual Report of Midwifery Practice (pdf)
- DH-MQA 1057 Collaborative Management Agreement (pdf)
- DH-MQA 1077 Emergency Backup Plan for Delivery (pdf)
- DH-MQA 1047 Informed Consent for Licensed Midwifery Services (pdf)
- DH-MQA 5029 Adverse Incident Reporting for Planned Out-of-Hospital Births (pdf)
Center for Democracy and Technology (CDT)
https://cdt.org/
U.S. Department of Health and Human Services
Health Insurance Portability and Accountability Act (HIPAA)
https://www.hhs.gov/hipaa/index.html
Chapter 456, Florida Statutes - Medical Practice Act
Chapter 467, Florida Statutes - Midwifery Practice Act
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