Free From Communicable Disease Screening.
No Exam, No Appointment, No Delay!

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Fully AHCA Compliant

Proudly supporting referred caregivers at

MyHealthForm.com provides a FAST, SIMPLE, COMPLIANT way for in-home caregivers to obtain state-required health screenings confirming they are "free from communicable diseases."

1

REGISTER & PAY

Provide your basic information & submit secure payment.

Get Started

2

Complete Screening

Answer 18 Physician approved questions.

See Example

3

Get Certificate

Instantly get your Physician approved signed certificate.

Example Certificate

It's That Easy!

You get the required form through a nurse-reviewed, physician-approved process.
This service meets the Florida requirements in Florida Statute 400.506(6)(a).

If you have symptoms or believe you may have been exposed to a communicable disease, please contact your healthcare provider before using this service.

News & Updates

How to Prevent Falsified Caregiver Health Screenings (A Guide For Nurse Registries)

Falsified caregiver health screenings are a real compliance risk. Learn how MyHealthForm.com uses certificate verification to protect patients, caregivers, and nurse registries.

MyHealthForm.com Is Designed for Nurse Registries — Not Agencies

MyHealthForm.com was designed to meet Florida nurse registry requirements for communicable disease screening. Learn why it is compliant for registries but not for licensed home health agencies.

MyHealthForm.com Confirmed AHCA-Compliant During Region 8 Survey

During an AHCA Region 8 relicensure survey, MyHealthForm.com was confirmed as compliant and acceptable. Learn about recent transparency enhancements added to support caregivers and surveyors.

Will a “Free From Communicable Disease” Health Statement Pass an AHCA Survey?

A common AHCA compliance question: Does a caregiver health statement without mandatory TB testing meet Florida nurse registry requirements? Here’s what the statute actually requires and what surveyors look for.

Free From Communicable Disease Screening: What To Expect

Learn what to expect during the Communicable Disease Screening required for Florida caregivers, including the 18 screening questions and how the process works.

Affordable, Fast, Compliant—Why Caregivers Love MyHealthForm.com

MyHealthForm.com provides fast, affordable, AHCA-compliant “Free From Communicable Disease” screening. Fully aligned with ST-G0151 and Florida 59A-18.005(6).

How MyHealthForm.com provides Free From Communicable Disease Screenings

Get your AHCA-compliant “Free From Communicable Disease” statement online. MyHealthForm.com offers fast, affordable screening with RN review under a physician-approved protocol. Instant results, 6-month access, and easy employer verification.

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