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NORTH DAKOTA BOARD OF OCCUPATIONAL THERAPY PRACTICE PO Box 4005 Bismarck, ND 585024005 Telephone (701) 2500847 Fax (701) 2249824 footboard aptnd.com SUBSTANTIATION OF SUPERVISION OCCUPATIONAL THERAPIST
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Provide your personal information, such as your name, contact details, and any identification numbers required.
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Fill in the purpose of the document, which may include specifying the type of substance or medication being substituted.
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Enter the details of the healthcare provider or professional who prescribed the medication.
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Include the necessary information about the substituted medication, such as the name, strength, dosage, and any other relevant details.
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Individuals who have been prescribed medication and are considering substituting it with an alternative.
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What is subst-lpdoc?
subst-lpdoc stands for Substantial Contributors List Declaration of Personal Knowledge or Direct Verification.
Who is required to file subst-lpdoc?
Organizations that receive substantial contributions from a single contributor or related contributors are required to file subst-lpdoc.
How to fill out subst-lpdoc?
subst-lpdoc should be filled out accurately and completely, including all relevant information about substantial contributors.
What is the purpose of subst-lpdoc?
The purpose of subst-lpdoc is to provide transparency about substantial contributions received by organizations.
What information must be reported on subst-lpdoc?
Information about substantial contributors, including their names, addresses, and the amount of contributions received, must be reported on subst-lpdoc.
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