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Rev 4/15 STATE BOARD OF PHYSICAL THERAPY P. O. BOX 2649 HARRISBURG, PA 171052649 7177837134 www.dos.pa.gov/physther PHYSICAL THERAPIST CERTIFICATE OF AUTHORIZATION TO TREAT BY DIRECT ACCESS APPLICATION
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How to fill out an initial application - direct?
01
Gather all necessary documents: Collect all the required documents, such as identification, proof of address, and any supporting documents requested by the application form. Make sure you have everything ready before starting to fill out the application.
02
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What is initial application - direct?
Initial application - direct is the first step in applying directly for a program or service without the need for a referral.
Who is required to file initial application - direct?
Anyone who is interested in accessing a specific program or service directly without going through a referral process is required to file an initial application - direct.
How to fill out initial application - direct?
To fill out an initial application - direct, one must provide all required personal information, details of the program or service being applied for, and any relevant supporting documents.
What is the purpose of initial application - direct?
The purpose of an initial application - direct is to streamline the process of applying for a program or service by skipping the referral step and directly submitting an application.
What information must be reported on initial application - direct?
On an initial application - direct, one must report personal details, contact information, program/service details, and any additional information required by the application.
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