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Optometry Form 4A Supporting Affidavit of Professional Practice - New York
What Is Optometry Form 4A?
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 4A?
A: Form 4A is the Supporting Affidavit of Professional Practice in New York for optometry.
Q: What is the purpose of Form 4A?
A: Form 4A is used to provide evidence of professional practice by optometrists in New York.
Q: Who needs to complete Form 4A?
A: Optometrists in New York who are applying for licensure or renewing their license need to complete Form 4A.
Q: What information is required in Form 4A?
A: Form 4A requires optometrists to provide information about their professional practice, including the number of patients seen, types of services provided, and any disciplinary actions taken against them.
Q: Are there any specific instructions for completing Form 4A?
A: Yes, there are instructions provided on the form itself. Optometrists should carefully read and follow these instructions when completing Form 4A.
Form Details:
- Released on August 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 Optometry Form 4A by clicking the link below or browse more documents and templates provided by the New York State Education Department.
Download Optometry Form 4A Supporting Affidavit of Professional Practice - New York
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