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Arkansas State Board of Athletic Training 9 Shackle ford Plaza, Suite 3 * Little Rock, AR 72211 5016834076 ATHLETIC TRAINER LICENSE/TEMPORARY PERMIT PHYSICIAN DIRECTION FORM Athletic Trainer Name:
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How to Fill out Physician Direction Formdoc:
01
Start by ensuring you have the correct version of the physician direction formdoc. Check with your healthcare provider or the relevant medical authority to obtain the latest form.
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Provide a comprehensive medical history, including any relevant medications, allergies, past illnesses, surgeries, or treatments. This information will assist the physician in making an informed decision.
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If applicable, attach any supporting documents or test results that may be relevant to your condition or the reason for seeking physician direction.
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Submit the filled-out physician direction formdoc to the appropriate healthcare provider or medical authority as instructed.
Who Needs Physician Direction Formdoc:
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What is physician direction formdoc?
Physician direction formdoc is a document that allows a physician to provide instructions on medical treatments or care preferences for a patient.
Who is required to file physician direction formdoc?
The patient or their authorized representative is required to file physician direction formdoc.
How to fill out physician direction formdoc?
To fill out physician direction formdoc, the patient or their representative must provide personal information, medical history, and specific medical preferences.
What is the purpose of physician direction formdoc?
The purpose of physician direction formdoc is to ensure that a patient's medical preferences are communicated and followed in the event they are unable to make decisions for themselves.
What information must be reported on physician direction formdoc?
Information such as medical treatment preferences, healthcare proxy designation, and current medications must be reported on physician direction formdoc.
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