
Get the free LIS Physician Addition/Change Form - cdha nshealth
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IS Physician Addition/Change Form Please fax to IS Office at 473-2100 College of Physicians and Surgeons of Nova Scotia (PMB#): New: Change: Temporary Add: Deactivate PMB#: Last First Name: Name:
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What is lis physician additionchange form?
The lis physician additionchange form is a form that healthcare providers must fill out to report any additions or changes to their physician information in the Local Implementation System (LIS) database.
Who is required to file lis physician additionchange form?
All healthcare providers who are registered in the LIS database and have made any additions or changes to their physician information are required to file the lis physician additionchange form.
How to fill out lis physician additionchange form?
To fill out the lis physician additionchange form, healthcare providers need to provide their personal and professional details, such as name, contact information, medical qualifications, and any updates or additions to their physician information. The form can be submitted electronically through the designated LIS portal.
What is the purpose of lis physician additionchange form?
The purpose of the lis physician additionchange form is to ensure accurate and up-to-date physician information in the LIS database. This helps in maintaining an effective healthcare system and facilitates communication and coordination among healthcare providers.
What information must be reported on lis physician additionchange form?
The lis physician additionchange form requires healthcare providers to report any changes or additions to their personal and professional information, including their name, contact information, medical qualifications, specialization, practice location, and any other relevant details.
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