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Get the free COLLABORATING PHYSICIAN bFORMb - OhioHealth Group

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Version 2/b2014/b. Return To: Credentialing Dept. OhioHealth Group. 155 E. Broad BR Street. Ste 1700. Cols, OH 43215. Fax: 614.566.0401. COLLABORATING ...
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How to fill out collaborating physician bformb:

01
Obtain the collaborating physician bformb from the appropriate organization or institution. This form may be available online or may need to be requested directly.
02
Start by filling out your personal information accurately. This includes your name, contact information, and any relevant identification numbers or credentials.
03
Provide information about your current medical practice or organization. This may include the name, address, and contact details of the facility where you work, as well as specific details about your role and responsibilities.
04
Indicate whether you are requesting a new collaborating physician or updating an existing one. If you are updating an existing one, provide the necessary details to identify the current collaborating physician.
05
Clearly state your reasons for seeking a collaborating physician or updating the current one. This may include explaining the nature of your medical practice, the specific treatments or procedures you perform, and how a collaborating physician would enhance your practice.
06
Include any supporting documentation required. This may include copies of your medical license, board certifications, or other credentials that demonstrate your qualifications.
07
Review the form thoroughly before submission to ensure all information is accurate and complete. Make sure to sign and date the form where required.

Who needs collaborating physician bformb:

01
Healthcare professionals who are working in a capacity that requires collaboration with a physician. This includes nurse practitioners, physician assistants, and other healthcare providers who have limited independent practice capabilities.
02
Individuals who are starting a new medical practice or joining an existing practice and need to establish or update a collaboration agreement with a physician.
03
Healthcare professionals who are seeking to expand their practice capabilities or offer new services that require physician collaboration.
Note: The specific requirements for needing a collaborating physician bformb may vary depending on the jurisdiction and the rules and regulations of the medical board or licensing authority. It is important to consult with the appropriate regulatory body or legal counsel to determine if this form is required for your specific situation.
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Collaborating physician form is a document that outlines the agreement between a physician and a collaborating physician in a medical practice.
Physicians who are working in a collaborative practice setting are required to file collaborating physician form.
Collaborating physician form can be filled out by providing the required information such as names of physicians, scope of collaboration, and signatures.
The purpose of collaborating physician form is to ensure proper collaboration and communication between physicians in a medical practice.
Information such as names of physicians, contact details, scope of collaboration, and signatures must be reported on collaborating physician form.
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