Get the free SECTION I EligibleSupervising Physician Information - nhms

NEW HAMPSHIRE MEDICAID CERTIFICATION AND ATTESTATION FOR PRIMARY CARE RATE INCREASE 365I 4/17/13 INDIVIDUAL ATTESTATION FORM SECTION I: Eligible/Supervising Physician Information Name of Eligible/Supervising

How to fill out section i eligiblesupervising physician

How to fill out section i eligiblesupervising physician:

1. Obtain the necessary forms: Begin by acquiring the required forms for filling out section i eligiblesupervising physician. These forms can typically be obtained from the relevant authority or organization responsible for overseeing the eligibility criteria.
2. Provide personal information: In this section, you will need to input your personal details, including your full name, contact information, and any relevant identification numbers or licenses. Ensure that your information is accurate and up-to-date.
3. Specify your supervising physician: Indicate the name and contact information of the supervising physician who will oversee your work or training. Include their full name, medical license information, and any additional credentials or qualifications they possess.
4. Describe the nature of the supervision: Provide a detailed explanation of how the supervising physician will oversee your work or training. This may include regular meetings, direct observation, review of charts or cases, and any other relevant methods of supervision. Be specific and thorough in your description.
5. Include supporting documents: Attach any necessary supporting documentation to further validate the information provided in section i. This may include copies of medical licenses, certificates, or letters of acknowledgment from the supervising physician.

Who needs section i eligiblesupervising physician?

1. Medical students: Medical students who are in the process of completing their clinical rotations or gaining practical experience often require section i eligiblesupervising physician. This ensures that their work is overseen by licensed and experienced physicians.
2. Resident physicians: Residents who are pursuing specialized training after medical school also need section i eligiblesupervising physician. This allows them to receive appropriate guidance and supervision from experienced physicians as they continue their education and training.
3. Allied healthcare professionals: Certain allied healthcare professionals, such as physician assistants or nurse practitioners, may also require section i eligiblesupervising physician. This is particularly relevant if they are seeking to gain additional skills or work in specialized areas under the supervision of a licensed physician.

Overall, section i eligiblesupervising physician is necessary for individuals in the medical field who require oversight and guidance from qualified physicians as they progress in their careers, receive training, or gain practical experience.

For pdfFiller’s FAQs

What is section i eligiblesupervising physician?

Section I eligible supervising physician is a section of a form where the physician who meets the eligibility requirements to supervise a specific program or activity is identified.

Who is required to file section i eligiblesupervising physician?

The individual or entity overseeing the program or activity is required to file section I eligible supervising physician.

How to fill out section i eligiblesupervising physician?

Section I eligible supervising physician should be filled out by providing the necessary information about the physician who will be supervising the program or activity.

What is the purpose of section i eligiblesupervising physician?

The purpose of section I eligible supervising physician is to ensure that the supervising physician meets the eligibility requirements to provide supervision for the specific program or activity.

What information must be reported on section i eligiblesupervising physician?

The information that must be reported on section I eligible supervising physician includes the physician's name, contact information, and qualifications.

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