Sworn and notarized Pain Clinic Physician affidavit for each physician identified in the application who has not completed a Designated Physician affidavit
A floor plan of the clinic showing all areas, including the location of controlled substances
A copy of property ownership records or the lease agreement, if the property is being leased
If the application process is not completed within 60 days of its filing, the application will be considered abandoned and closed and a new application and fee will be required.
Annual registration fee: $385
Late registration fee: $192.50
Registration certificate replacement fee: $19
Background check fee: $25
Cash is not accepted. The fees are non-refundable. A late fee will apply to renewal applications submitted after the expiration of the current registration.
Checks or money orders should be made payable to Miami-Dade County / CP. Visa, Mastercard and American Express are accepted when applying online and in person.
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