We do not encourage the use of this form in lieu of a standard Florida Department of Health (DOH) check-in form. We are concerned with the use of this form for mental health and substance abuse services, as well as the use by those who are not licensed mental health or substance abuse therapists to submit claims to the DOH for reimbursement. Furthermore, we do have a few ideas on how to make this better and more efficient. This checklist is only a first draft. We need your help, friends, and colleagues! Please email us if you have any questions. Check-in form. This will take 2 to 3 min to finish. Please fill in the information for the practice address to enable us to send the invoice to your mail. Email address: Name: Phone: Filing information Florida Department of Health Office: Department of Health Building, 600 E. 1st St, Ste. 400 Tallahassee, Florida 32 Directions for filling out form Please click on the links below to see each form.
Disclaimer
The materials in this section are taken from public sources. We disclaim all representations or any warranties, express or implied, as to the accuracy, authenticity, reliability, accessibility, adequacy, or completeness of any data in this paragraph. Nevertheless, we make every effort to cite public sources deemed reliable and trustworthy.