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REGISTRATION FORM NEW YORK STATE OSTEOPATHIC MEDICAL SOCIETY NY Chapter of the Association of Chinese American Physicians October 14, 2009, Wednesday REGISTRATION FORM Name AOA# Address City State
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How to Fill Out New York State Osteopathic:

01
Obtain the necessary application form: Visit the official website of the New York State Board of Osteopathic Medicine or contact them directly to request the application form for licensure in osteopathic medicine.
02
Provide personal details: Fill in your personal information accurately, including your full name, address, contact information, and date of birth. Make sure to double-check the information for any errors or typos.
03
Educational background: Include details about your undergraduate and graduate education, as well as any other relevant educational qualifications. Provide the names of the institutions, dates of attendance, degrees earned, and any honors received.
04
Osteopathic medical education: Provide detailed information about your osteopathic medical education, including the name and location of the osteopathic medical school, dates of attendance, degree earned, and any honors or awards received.
05
Postgraduate training: List all of your postgraduate training, including internships, residency programs, and fellowships. Include the names and locations of the institutions, dates of training, and any certifications or qualifications obtained.
06
Examination history: Include a comprehensive list of all the medical licensing examinations you have taken, including both osteopathic and allopathic examinations. Provide the dates of the exams and the results obtained.
07
Licensure history: Disclose any previous or current medical licenses you hold or have held, including the states in which these licenses were obtained. Provide details about any disciplinary actions taken against you by a medical licensing board.
08
Citizenship and legal information: Answer questions pertaining to your citizenship status, immigration history, and legal actions or convictions, if applicable. Make sure to provide accurate and truthful information, as any falsification could result in severe consequences.
09
Professional references: Include the names and contact information of professional references who can vouch for your character, competence, and ethical standing in the medical field. These references should preferably be individuals who have direct knowledge of your clinical practice.
10
Submit required documents: Ensure that you include all the required supporting documentation, such as official transcripts, copies of diplomas or degrees, proof of postgraduate training, and examination score reports. Follow the instructions provided by the licensing board regarding document submission.

Who Needs New York State Osteopathic:

01
Aspiring osteopathic physicians: Individuals who have successfully completed their osteopathic medical education and wish to practice osteopathic medicine in the state of New York need to obtain a New York State Osteopathic license.
02
Current osteopathic physicians in other states: Osteopathic physicians who are licensed to practice in another state but wish to expand their practice to New York must also apply for a New York State Osteopathic license.
03
Medical students: Medical students who are enrolled in an osteopathic medical school and anticipate practicing in New York after graduation should familiarize themselves with the requirements and application process for obtaining a New York State Osteopathic license.
It is important to note that these points provide a general overview and should not be considered as exhaustive or binding. It is always recommended to consult the official guidelines and regulations provided by the New York State Board of Osteopathic Medicine for the most accurate and up-to-date information.
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New York State Osteopathic is a registration form for osteopathic physicians practicing in the state of New York.
Osteopathic physicians practicing in New York State are required to file the New York State Osteopathic form.
The New York State Osteopathic form can be filled out online through the official website of the New York State Department of Health.
The purpose of the New York State Osteopathic form is to register and track osteopathic physicians practicing in the state of New York.
The New York State Osteopathic form requires information such as personal details, contact information, medical education, training, and licensure details.
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