Medical / Clinic Director Information

A licensed health care clinic may not operate or be maintained without the day-to-day supervision of a single medical or clinic director.  Failure by a clinic to employ a qualified medical director or clinic director constitutes a ground for emergency suspension of the license by the agency.

You must report a change of medical or clinic director to the agency within 21 calendar days from the effective date of the change, as required by s. 408.810 (3)(a), Florida Statutes.

References:
Section 400.9905(5), Florida Statutes
Section 400.9935, Florida Statutes
Section 400.9915, Florida Statutes
Rule 59A-33.008, Florida Administrative Code
Rule 59A-33.013, Florida Administrative Code

How to Report a Change of a Medical/Clinic Director:

  1. Complete and submit sections 1, 2, 8 and 10 of the Health Care Clinic Licensing Application Form [151KB, DOC]
  2. Complete and submit sections 1 and 4 of the Health Care Licensing Application Addendum [124KB, DOC]
  3. Original Health Care Clinic Medical/Clinic Director Attestation Form [30KB, DOC]
  4. A copy of the practitioner’s current, active license issued by the Florida Department of Health.
  5. A copy of the practitioner’s Level 2 background screening results through the Agency for Health Care Administration.
  6. A copy of the new director’s contract or agreement with the health care clinic.
  7. A copy of the previous director’s letter of resignation to the clinic or a copy of the clinic’s letter of termination to the previous director.
  8. A copy of the facility’s current health care clinic license.