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20162017 ANNUAL PHYSICIAN NOTICE OF LABORATORY Compliance our Valued Healthcare Partners: Advance Toxicology, LLC DBA Advance Analytical Laboratories (Advance) maintains an active compliance program that

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How to fill out 2016-2017 annual physician notice

01

To fill out the 2016-2017 annual physician notice, follow these steps:

02

Start by providing your personal information such as your full name, address, and contact details.

03

Specify the date and time of the notice.

04

Indicate your medical qualifications and credentials.

05

Include a summary of your professional practice during the specified period (2016-2017).

06

Outline the types of patients you have treated and the medical procedures you have performed.

07

Provide any additional information required by the notice.

08

Review the completed form for accuracy and completeness.

09

Sign and date the notice to confirm its authenticity.

10

Submit the filled-out form according to the instructions provided.

Who needs 2016-2017 annual physician notice?

01

The 2016-2017 annual physician notice is required for healthcare professionals who practice medicine and are registered/licensed as physicians for this particular time period.

02

Individuals who have completed their medical training and obtained the necessary certifications to work as physicians are expected to fill out this notice to inform relevant authorities about their activities and adherence to professional standards during the specified period.

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