Form CDPH8217 SRA III Special Renewal Application - Physician Assistant Fluoroscopy Permit - California

Notification Icon 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.

Form CDPH8217 SRA III Special Renewal Application - Physician Assistant Fluoroscopy Permit - California

What Is Form CDPH8217 SRA III?

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.

FAQ

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.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the California Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form CDPH8217 SRA III Special Renewal Application - Physician Assistant Fluoroscopy Permit - California

4.4 of 5 (89 votes)
  • Form CDPH8217 SRA III Special Renewal Application - Physician Assistant Fluoroscopy Permit - California

    1

  • Form CDPH8217 SRA III Special Renewal Application - Physician Assistant Fluoroscopy Permit - California, Page 2

    2

  • Form CDPH8217 SRA III Special Renewal Application - Physician Assistant Fluoroscopy Permit - California, Page 1
  • Form CDPH8217 SRA III Special Renewal Application - Physician Assistant Fluoroscopy Permit - California, Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents