PDF
Word
Form CDPH257 Application for Basic Emergency Medical Service, Physician on Duty - California
What Is Form CDPH257?
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 CDPH257?
A: Form CDPH257 is the application for Basic Emergency Medical Service, Physician on Duty in the state of California.
Q: Who can use Form CDPH257?
A: This form is used by physicians who wish to provide their medical services in the capacity of a physician on duty for basic emergency medical services.
Q: What is the purpose of Form CDPH257?
A: The purpose of Form CDPH257 is to apply for approval as a physician on duty for basic emergency medical services.
Q: What information is required in Form CDPH257?
A: Form CDPH257 requires information about the physician's personal details, medical license, professional qualifications, and the basic emergency medical services they intend to provide.
Form Details:
- Released on October 1, 2008;
- 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 CDPH257 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
