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Student Financial Services One University Boulevard 327 Millennium Student Center St. Louis, MO 631214499 T: 3145165526 www.umsl.edu/services/finaid Disability Document in Secure Doc Upload202223
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Obtain the 2022-23 physicians certification of form from the appropriate medical board or organization.
02
Carefully read and understand all instructions provided on the form.
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Fill out the form accurately and completely with your personal information, medical license details, and any other required information.
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Make sure to include any supporting documentation or references as requested on the form.
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Review the completed form to ensure all information is correct and legible before submitting it for certification.

Who needs 2022-23 physicians certification of?

01
Physicians who are required to provide proof of their medical license and certification for the year 2022-23.
02
Medical professionals who need to submit certification to their employers, medical institutions, or regulatory bodies.
03
Individuals applying for medical staff privileges or participating in medical insurance networks may also need to submit this certification.
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It is a form certifying that a patient requires the use of medical marijuana.
A licensed physician is required to file the certification.
The physician must provide the patient's information, diagnosis, and recommendation for medical marijuana.
The purpose is to legally authorize a patient to use medical marijuana for their medical condition.
The patient's information, medical condition, and the physician's recommendation for medical marijuana must be reported.
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