Florida Medicaid Forms and Checklist

The documentation checklist, intake assessment, and DCF authorization forms

Ask MIAM Request Services Medicaid Numbers LTC Options Glossary Common Pitfalls Forms

Print, complete, and bring these to your first meeting. Anything you can gather ahead of time speeds up the Medicaid application by weeks.

Medicaid Documentation Checklist

Every document a Florida Medicaid application needs — identification, income, 5 years of bank statements, real estate, legal documents, transfers, and more. Print and tick off as you collect.

Intake Assessment (Florida)

The firm's intake form. Most clients fill this out before the first meeting so we can hit the ground running.

Open PDF →

Florida Medicaid Authorization Forms

The authorization and release forms required by the Florida Department of Children and Families (DCF) to act on the applicant's behalf during the Medicaid application process.

Open PDF →