ACDF Application and Notification Forms
Last updated on August 8, 2024
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 facility's 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 – 1951
Privately-Owned Facilities
- Form A - New Certificate of Approval – 1929A
- Diagnostic Outpatient Electromyography Application Letter of Support (to be used if facility to be located within a health authority hospital)
- Form B – Expansion: Services, Facility, Capacity – 1929B
- Form C – Relocation: Services, Facility, Capacity – 1929C
- Form D – Distance-Reading (Diagnostic Ultrasound Telemetry) Certificate of Approval – 1951
- Form E – Transfer of Material Financial Interest – 1953E
Operational Changes Notification
- Form F – Operational Changes Notification Form
- The required individuals must manually sign and date the application forms. Once the application is finalized it should be saved as a PDF and then uploaded to the ACDF Applications Secure Upload Tool.
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 If applying for a privately-owned Electromyography facility physically located within a health authority facility, an authorized letter of support must be included with the application.
|
| 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 |
Submit a Completed Application Form for New, Expansion, or Relocation of Diagnostic Services
For up to date information on moratoriums please see the links below:
For information on ACDF Key Decisions, Approvals, and Meetings:
The Diagnostic Facilities Administration program area supports the ACDF and the process for new, expansion, and relocation applications.