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Level Practitioner Agreement Sponsoring Physician Please print or type. Level Practitioners Name Sponsoring Physicians Name I agree to be the sponsoring physician for the above named physicians assistant
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Mid-level practitioner agreement sponsoring is the process of sponsoring an agreement with a mid-level healthcare practitioner, such as a nurse practitioner or physician assistant.
Healthcare facilities and organizations that employ mid-level practitioners are required to file mid-level practitioner agreement sponsoring.
Mid-level practitioner agreement sponsoring can be filled out by providing information about the healthcare facility, the mid-level practitioner, and the terms of the agreement.
The purpose of mid-level practitioner agreement sponsoring is to ensure that mid-level practitioners are properly supervised and have appropriate oversight in their healthcare practice.
Information such as the names of the healthcare facility and the mid-level practitioner, the effective date of the agreement, and the scope of practice supervision must be reported on mid-level practitioner agreement sponsoring.
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