This version of the form is not currently in use and is provided for reference only. Download this version of Form CDPH8217 SRA III for the current year.
This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form CDPH8217?
A: Form CDPH8217 is a special renewal application for the Physician Assistant Fluoroscopy Permit in California.
Q: What is SRA III?
A: SRA III refers to the Special Renewal Application III.
Q: What is a Physician Assistant Fluoroscopy Permit?
A: A Physician Assistant Fluoroscopy Permit is a permit that allows physician assistants in California to perform fluoroscopy procedures under supervision.
Q: Who needs to use Form CDPH8217?
A: Physician assistants who hold a fluoroscopy permit in California need to use Form CDPH8217 for the special renewal application.
Q: What information is required on Form CDPH8217?
A: Form CDPH8217 requires information such as personal details, permit number, continuing education, and any changes in supervision.
Q: Is there a fee for the special renewal application?
A: Yes, there is a fee associated with the special renewal application. The fee amount can be found on the Form CDPH8217.
Form Details:
Download a fillable version of Form CDPH8217 SRA III by clicking the link below or browse more documents and templates provided by the California Department of Public Health.