ACDF Application and Notification Forms
Before submitting an application, please refer to “moratorium information” and “ACDF Key Decisions”, found in the right hand boxes, which may affect your decision.
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The purpose of the application, notification and assessment process is to establish and administer province-wide diagnostic services based on the rational distribution of services and actual need. For more information regarding the application and assessment process, please see the Policies and Guidelines of the ACDF.
Any publicly or privately-owned Diagnostic Facility in British Columbia intending to bill BC’s Medical Services Plan for outpatient diagnostic services must obtain a Certificate of Approval, granted by the Advisory Committee on Diagnostic Facilities or the Medical Services Commission.
All Certificates of Approval are site-and-owner specific and cannot be transferred or assigned. If a facility is sold, the new owner must apply for a new Certificate of Approval in order to bill for the provision of outpatient services.
Other changes such as to a facilities hours of operation, equipment, signing authority, ownership (changes of less than 10%), diagnostic services, payment number or cease of operations (temporary or permanent), must be submitted by using the Operational Changes Notification form.
Publicly-Owned Facilities - Health Authorities
- Form A – New Certificate of Approval – 1928A
- Form B – Expansion: Services, Facility, Capacity – 1928B
- Form C – Relocation: Services, Facility, Capacity – 1928C
- Form D – Distance-Reading (Diagnostic Ultrasound Telemetry) Certificate of Approval
Privately-Owned Facilities
- Form A - New Certificate of Approval – 1929A
- Form B – Expansion: Services, Facility, Capacity – 1929B
- Form C – Relocation: Services, Facility, Capacity – 1929C
- Form D – Distance-Reading (Diagnostic Ultrasound Telemetry) Certificate of Approval
- Form E – Application for Transfer of Material Financial Interest of an Existing Privately Owned Diagnostic Facility
Operational Changes Notification
Publicly-Owned Facilities - Health Authorities
Form # | Form Name and Information |
---|---|
1928A |
Form A – New Certificate of Approval |
1928B Form B |
Form B – Expansion: Services, Facility, Capacity
|
1928C Form C |
Form C – Relocation: Services, Facility, Capacity
|
1951 Form D |
Form D – Distance-Reading (Diagnostic Ultrasound Telemetry Certificate of Approval) |
Privately-Owned Facilities
Form # | Form Name and Information |
---|---|
1929A |
Form A – New Certificate of Approval Diagnostic Outpatient Electromyography Application Letter of Support |
1929B Form B |
Form B – Expansion: Services, Facility, Capacity
|
1929C Form C |
Form C – Relocation: Services, Facility, Capacity |
1951 Form D |
Form D – Distance-Reading (Diagnostic Ultrasound Telemetry Certificate of Approval) |
1953 Form E |
Form E – Application for Transfer of Material Financial Interest of an Existing Privately Owned Diagnostic Facility |
Operational Changes Notification
Form # | Form Name and Information |
---|---|
1954 |
Form F – Operational Changes Notification |