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DEPARTMENT OF HEALTH COUNCIL ON PHYSICIAN ASSISTANTS P.O. Box 6320 Tallahassee, Florida 32314-6320 (850) 245-4131 INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR LICENSURE AS A PHYSICIAN ASSISTANT

How to fill out physician assistant 08-2012 revised

How to fill out physician assistant 08-2012 revised:

1. Start by reading the instructions provided on the form thoroughly. This will give you a better understanding of the information required and any specific guidelines to follow.
2. Begin by entering your personal information accurately in the designated fields. This may include your full name, contact details, and professional credentials.
3. Fill in the date and location where you are completing the form. It's important to ensure that these details are accurate and up to date.
4. Proceed to the sections that require you to provide information about your education and training. Include your educational background, any certifications or licenses held, and any relevant professional experience.
5. If required, provide details about any previous employment history in the field of physician assisting. Include the duration of employment and the name and contact information of the employer.
6. Complete the section that pertains to any affiliations or memberships you hold in professional organizations related to physician assisting.
7. Make sure to review your entries for accuracy and completeness. Double-check all information provided before submitting the form to avoid any mistakes or omissions.
8. Sign and date the form where indicated, and follow any additional instructions provided, such as attaching any supporting documents.
9. After completing and reviewing the form thoroughly, submit it according to the guidelines provided in the instructions.

Who needs physician assistant 08-2012 revised:

1. Physician assistants who are required to update their personal information or submit certain details to their regulatory body may need to fill out the physician assistant 08-2012 revised form.
2. Individuals who have recently completed their physician assistant training or obtained their licensure may be required to complete this form as part of the application process.
3. Physician assistants who are changing employers or seeking new job opportunities may need to fill out this form as part of their employment documentation.

It's important to note that the specific circumstances and requirements for filling out the physician assistant 08-2012 revised form may vary depending on the jurisdiction and regulatory body overseeing physician assistants in a particular area. Therefore, it is always advisable to consult with the appropriate authority or seek legal counsel if you have any doubts or questions regarding the form and its relevance to your specific situation.

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