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Get FL AHCA 3170-2004D 2011-2024

Ealth Care Administration as the recipient of the screening results to ensure the results are reviewed by the Agency. If the Agency does not receive the result, additional screening and fees may be required. The Agency has created a form that you may use to take to the vendor. You may access this form, Background Screening Validation, on the Agency’s website at: http://ahca.myflorida.com/MCHQ/Long_Term_Care/Background_Screening/index.shtml. The Lab Director Financial Officer are out of state a.

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