Get the free FLORIDA VISA WAIVER PHYSICIAN PRACTICE STATUS REPORT

Rick Scott Governor Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. John H. Armstrong, MD, FACS State Surgeon General

How to fill out florida visa waiver physician

How to Fill Out a Florida Visa Waiver Physician:

1. Start by obtaining the necessary visa waiver form from the reliable source. You can visit the official website of the Florida Department of Health or contact the local health department for the form.
2. Carefully read through the instructions on the form, ensuring that you understand the requirements and the information that needs to be provided.
3. Begin by filling out your personal information accurately. This may include your full name, date of birth, address, phone number, and email address. Make sure to double-check the accuracy of this information.
4. Provide your professional details, such as your medical license number, specialty, and the state where the license was issued. Include any additional certifications or credentials that may be relevant.
5. Specify your current employment status, whether you are a physician in private practice, employed by a medical institution, or working as a locum tenens physician.
6. Provide details about your prior work experience, including the name and address of any institutions or facilities you have worked at within the past five years. Include the dates of employment and a brief description of your responsibilities.
7. Indicate any disciplinary actions or malpractice claims that have been filed against you in the past. Be prepared to provide necessary documentation or explanations if required.
8. Fill in the section regarding your history of substance use or any mental health issues, if applicable. It is essential to be honest and transparent when answering these questions.
9. If you have participated in any continuing medical education courses or gained additional medical knowledge since your last license renewal, specify the details in the required section.
10. Finally, carefully review the completed form to ensure all information is accurate and signed where necessary. Attach any supporting documents as per the form instructions, such as copies of your medical licenses, certifications, or identification.

Who Needs a Florida Visa Waiver Physician:

1. Physicians who wish to practice medicine temporarily in the state of Florida and are not licensed under the state's medical practice act may need to fill out a Florida visa waiver physician form.
2. This includes out-of-state physicians attending medical conferences, providing expert testimony, conducting research, or treating patients within the state for a limited duration.
3. Locum tenens physicians, who are licensed in other states or jurisdictions but are temporarily providing medical services in Florida, must also complete the visa waiver physician form.

For pdfFiller’s FAQs

What is florida visa waiver physician?

Florida visa waiver physician refers to a program that allows international medical graduates to practice medicine in underserved areas of Florida without having to obtain a J-1 visa.

Who is required to file florida visa waiver physician?

International medical graduates who wish to practice medicine in underserved areas of Florida are required to file florida visa waiver physician.

How to fill out florida visa waiver physician?

To fill out florida visa waiver physician, applicants must provide personal information, details of medical education, training, and licensing, and a commitment to practice in underserved areas.

What is the purpose of florida visa waiver physician?

The purpose of florida visa waiver physician is to address healthcare shortages in underserved areas of Florida by allowing international medical graduates to practice medicine there.

What information must be reported on florida visa waiver physician?

Information such as personal details, medical education, training, licensing, and a commitment to practice in underserved areas must be reported on florida visa waiver physician.

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