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Louisiana State Board of Medical Examiners Physical & Application Processing Address: 630 Camp Street, New Orleans, LA 70130 General Correspondence Mailing & Criminal Background Check Address: P.O.

What is VISITING PHYSICIAN EVALUATION PERMIT Form?

The VISITING PHYSICIAN EVALUATION PERMIT is a Word document which can be filled-out and signed for specific purposes. Next, it is provided to the exact addressee in order to provide some information and data. The completion and signing is possible in hard copy by hand or via a suitable tool e. g. PDFfiller. Such applications help to send in any PDF or Word file online. It also allows you to edit its appearance for your needs and put a legal e-signature. Once done, the user sends the VISITING PHYSICIAN EVALUATION PERMIT to the recipient or several ones by email or fax. PDFfiller is known for a feature and options that make your Word form printable. It offers a variety of settings when printing out. No matter, how you distribute a form after filling it out - in hard copy or electronically - it will always look professional and firm. In order not to create a new editable template from the beginning again and again, make the original document into a template. Later, you will have a rewritable sample.

VISITING PHYSICIAN EVALUATION PERMIT template instructions

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What is visiting physician evaluation permit?

Visiting physician evaluation permit allows a physician from another state to practice medicine in a different location for a temporary period of time.

Who is required to file visiting physician evaluation permit?

Physicians who wish to practice medicine in a different state for a temporary period of time are required to file visiting physician evaluation permit.

How to fill out visiting physician evaluation permit?

To fill out visiting physician evaluation permit, physicians need to provide information about their credentials, licensing, and the location where they intend to practice.

What is the purpose of visiting physician evaluation permit?

The purpose of visiting physician evaluation permit is to ensure that physicians from another state meet the necessary requirements to practice medicine in a different location for a short period of time.

What information must be reported on visiting physician evaluation permit?

Information such as physician's name, credentials, licensing information, location where they intend to practice, and duration of practice must be reported on visiting physician evaluation permit.