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Dos. pa.gov/nurse Email st-nurse pa.gov INSTRUCTIONS FOR EXTENSION OF TEMPORARY PRACTICE PERMIT TPP The Board can only extend a TPP IF the specific deadlines below are met AND the holder has an illness or extreme hardship. Because illnesses or hardships cannot be anticipated the Board recommends that all holders pay careful attention to the applicable deadlines. PENNSYLVANIA STATE BOARD OF NURSING P. O. BOX 2649 HARRISBURG PA 17105-2649 PHONE 717 783-7142 FAX 717 783-0822 www. Graduate...
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How to fill out pa temporary practice extension

How to fill out PA temporary practice extension:
01
Visit the Pennsylvania Board of Medicine's website.
02
Locate the "Forms and Applications" section.
03
Look for the "Temporary Practice Extension" form and download it.
04
Fill out the personal information section, providing your name, contact information, and license number.
05
Indicate the reason for requesting the temporary practice extension and provide any supporting documentation if required.
06
Specify the duration of the extension needed and the desired start date.
07
Include any additional information or explanations that may be relevant to your request.
08
Review the completed form for accuracy and ensure all required fields are filled.
09
Submit the form either by mail or electronically, following the instructions provided on the website.
10
Keep a copy of the completed form for your records.
Who needs PA temporary practice extension:
01
Physicians who are licensed in Pennsylvania but wish to temporarily practice outside of the state.
02
Healthcare professionals who are in the process of obtaining their Pennsylvania license and need to practice in the state before the licensure is granted.
03
Providers who are facing a temporary emergency or unforeseen circumstances that require them to practice in Pennsylvania without a full license.
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What is pa temporary practice extension?
The pa temporary practice extension allows individuals or businesses to practice temporarily in Pennsylvania without obtaining a full license or permit.
Who is required to file pa temporary practice extension?
Any individual or business looking to practice temporarily in Pennsylvania without a full license or permit is required to file pa temporary practice extension.
How to fill out pa temporary practice extension?
To fill out pa temporary practice extension, individuals or businesses must provide information about the nature of their temporary practice, duration, and location.
What is the purpose of pa temporary practice extension?
The purpose of pa temporary practice extension is to allow individuals or businesses to practice temporarily in Pennsylvania without going through the full licensing process.
What information must be reported on pa temporary practice extension?
Individuals or businesses must report information about the nature of their temporary practice, duration, location, and any relevant qualifications or certifications.
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