You may download and print a copy of the Physician Office Adverse Incident Report form.
AHCA Clearinghouse Legacy Applications Downtime
The Clearinghouse Results Website will undergo scheduled maintenance as part of the ongoing efforts to update systems. Please make note of the following important information:
Downtime Schedule:
The Clearinghouse Results Website will be down from Friday, November 8th at 5:00 PM to Monday, November 18th at 8:00 AM. During this period, the system will be inaccessible for regular use as AHCA deploys the new system
You may download and print a copy of the Physician Office Adverse Incident Report form.