Registered Physician Assistant Form 3 Verification of Licensure / Certification in Another Jurisdiction - New York

Registered Physician Assistant Form 3 Verification of Licensure / Certification in Another Jurisdiction - New York

What Is Registered Physician Assistant Form 3?

This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 3?
A: Form 3 is a verification of licensure/certification in another jurisdiction.

Q: What is the purpose of Form 3?
A: The purpose of Form 3 is to verify a physician assistant's licensure/certification in another jurisdiction.

Q: Who needs to fill out Form 3?
A: Physician assistants who are licensed/certified in another jurisdiction and want to practice in New York need to fill out Form 3.

Q: What information is required in Form 3?
A: Form 3 requires information such as the applicant's personal information, licensing/certification details, and other supporting documentation.

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Form Details:

  • Released on May 1, 2005;
  • The latest edition provided by the New York State Education Department;
  • 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 printable version of Registered Physician Assistant Form 3 by clicking the link below or browse more documents and templates provided by the New York State Education Department.

Download Registered Physician Assistant Form 3 Verification of Licensure / Certification in Another Jurisdiction - New York

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