Children's Medical Services
Provider Management
Florida Department of Health
New Application - Account

To begin the new application process you must first create an account. Please enter your name and create a password below.

First Name:
Last Name:
Your password must meet the following requirements.
  • 6 or more characters
  • At least 1 special character or number
  • At least 1 upper case letter
  • At least 1 lower case letter
Password:
Confirm Password: