MyHealthForm.com: A Fast, Cheap, Easy, AHCA-Compliant tool for Caregivers to Obtain Their “Free From Communicable Disease” Statement
Florida caregivers are required by law to provide documentation that they are “free from communicable diseases” before they can be referred for client care. This requirement comes directly from:
Florida Administrative Code 59A-18.005(6)
Florida Statute 400.506(6)(a)
These regulations explicitly allow a Registered Nurse to issue this documentation “acting pursuant to an established protocol signed by a licensed physician.”
(Source documents: 59A-18.005(6) & 400.506(6)(a))
Historically, this process has been slow, expensive, and confusing. Caregivers often had to schedule appointments, pay $75–$150 (or more), and hope a physician was willing to sign broad statements that many clinics are reluctant to issue.
MyHealthForm.com was created to fix this.
A Modern, Online Approach — Built on Proven Screening Methods
To ensure the process is safe, compliant, and medically appropriate, MyHealthForm.com uses a screening method modeled after established communicable-disease screening tools used by large institutions.
These tools form the foundation of a structured protocol that has been reviewed and approved by a licensed physician, as required by Florida law. Under this protocol, a Registered Nurse evaluates each caregiver's responses and issues the required health statement when appropriate.
This ensures MyHealthForm.com is fully aligned with AHCA’s expectations and follows the same type of symptom-based screening that major health systems already use.
How It Works (Simple 1-2-3 Process)
1. Complete the online screening questionnaire
Caregivers answer evidence-based symptom and exposure questions.
2. RN review under a physician-signed protocol
If the caregiver reports no symptoms or exposures indicating possible communicable disease, the RN issues the official “Free From Communicable Disease” statement.
Caregivers receive full access to the platform for six months from the date of payment. During this six-month window, they may complete the screening at any time.
If a caregiver does not pass the screening initially, they still retain full access for the entire six-month period. This allows them time to consult with their personal physician, address any symptoms or concerns, and then re-submit the screening whenever they are ready — at no additional cost.
Once the caregiver passes the screening, the issued Free From Communicable Disease statement is valid for six months (from their initial payment date), This meets the requirements defined by statute.
Nurse registries and offices can instantly verify a caregiver’s screening status through MyHealthForm.com.
Active, valid screenings will show as current
Expired statements will show as expired, but because caregivers retain access for six months, they can quickly recomplete the screening at any time to obtain an updated statement.
3. Instant delivery — no appointment, no delay
Once cleared, caregivers receive their documentation immediately, ready to provide to any nurse registry or agency.
What If a Caregiver Doesn’t Pass the Screening?
MyHealthForm.com process remains supportive and compliant.
If a caregiver’s responses indicate a possible communicable disease risk:
No certificate is issued (as required by law)
The caregiver is advised to follow up with their healthcare provider
They have 6 months to resolve concerns
Once resolved, they can resubmit the screening at no extra charge and receive their certificate upon passing
This mirrors the model used in facility-based employee screening programs nationwide and ensures public safety while remaining affordable and accessible.
Why Caregivers and Nurse Registries Love This Option
Fully AHCA-compliant (directly aligned with 59A-18.005(6) & 400.506(6)(a))
Instant documentation — no office visits required
Physician-approved process
RN-reviewed screening
Fast, cheap, and easy
No more chasing clinics or paying $100+
Safe for registries (designed for surveyor clarity)
Affordable for caregivers
In short: MyHealthForm.com modernizes a requirement that has been outdated for years.