Permanent License

Physician Assistant


    Requirements for license

    Instructions for completing application

    Application

 

 Forms:

       Notary Guide
       
Check List
        Appendix A - PHYSICIAN ASSISTANT  School Certification
        Appendix B - Verification of activities Following Medical School Graduation
        Appendix C - Verification of Staff Privileges
        Appendix D - Verification of Licensure
        Appendix E - Verification of Malpractice Insurance
       
Appendix F - Authorization to Release Information
        

   
Protocol information and forms

    APPLICATION FOR PRESCRIPTIVE AUTHORITY

 

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