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State Medical Board of Ohio

 

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

 

policy

physician assistant policy committee

calendar

minutes


faq

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