physician assistants
applications for supervising physicians
physician assistant licensure information
licensee profile & status
on-line change of address
on-line license renewal
on-line verification form
lost wallet or wall certificate
name change affidavit
certificate to practice numbers information
application for certificate to practice
cme
national commission on certification of physician assistants (NCCPA)
treatment & compliance supervisory plan
alternate supervising physician form
supervision agreement
addendum for multiple Physician Assistants
addendum for multiple Supervising Physicians
special services application
model supervisory plan for Cryotherapy
physician assistant policy committee
calendar
minutes
frequently asked questions
statutes
rules
approved Physician Assistant Policy Committee minutes Copies of documents referenced in the minutes as exhibits are available upon request. For copies of these documents, please contact the Disciplinary Information Department 614/728-4640.
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30 East Broad Street, 3rd Floor, Columbus, Ohio 43215-6127 | Telephone: (614) 466-3934 | Fax: (614) 728-5946 Complaint Forms: (800) 554-7717 | Licensure Verification: (800) 357-7720
