Please fax completed forms to 407-977-1611

For questions regarding utilization report forms, please contact Kendra Musselle at 407-977-1610, ext. 221, or kmusselle@hcecf.org.

Hospital Data Utilization Report Form

(Hospital information is due 45 days after the quarter has ended.)

Nursing Home Data Utilization Report Form

(Nursing home information is due 30 days after the quarter has ended.)