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STATE OF FLORIDA
BOARD OF MEDICINEFinal Order No. DOH181179S MA
FILED D TE.
department OF HEALTH,0 6 2018
HealtPetitioner,
vs. DOH CASE NO.: 201712419
LICENSE NO.: ME0121580
ADAM RACE NELSON, M.D.,
Respondent.
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How to fill out doh-18-1179-s -mqa
01
Start by downloading the doh-18-1179-s-mqa form from the official website of the Department of Health.
02
Open the downloaded form using a PDF reader or any compatible software.
03
Fill in your personal information, including your full name, address, contact number, and email address.
04
Provide the necessary details related to your medical qualifications, including your educational background, professional experience, and relevant certifications.
05
Indicate the specific type of healthcare profession you are applying for by checking the appropriate box.
06
Include any additional supporting documents, such as your resume or curriculum vitae, copies of your academic transcripts or diplomas, and any applicable licenses or certifications.
07
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08
Sign and date the form.
09
Submit the filled-out doh-18-1179-s-mqa form, along with the required supporting documents, to the designated address or email provided by the Department of Health.
10
Wait for confirmation or further instructions from the Department of Health regarding your application.
Who needs doh-18-1179-s -mqa?
01
The doh-18-1179-s-mqa form is needed by individuals who are applying for healthcare professions regulated by the Department of Health. This may include doctors, nurses, pharmacists, medical technologists, radiologic technologists, physical therapists, and other allied healthcare professionals who need to obtain or renew their licenses or certifications.
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What is doh-18-1179-s -mqa?
doh-18-1179-s -mqa is a form used for reporting healthcare quality measures to the Department of Health.
Who is required to file doh-18-1179-s -mqa?
Healthcare providers and facilities are required to file doh-18-1179-s -mqa.
How to fill out doh-18-1179-s -mqa?
doh-18-1179-s -mqa can be filled out online or submitted in paper form with all required quality measure information.
What is the purpose of doh-18-1179-s -mqa?
The purpose of doh-18-1179-s -mqa is to collect and analyze healthcare quality data to improve patient outcomes and care.
What information must be reported on doh-18-1179-s -mqa?
doh-18-1179-s -mqa requires reporting of specific healthcare quality measures, patient demographics, and treatment outcomes.
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