Form 14 Treating Healthcare Practitioner List - Ohio

Form 14 Treating Healthcare Practitioner List - Ohio

What Is Form 14?

This is a legal form that was released by the Ohio Board of Nursing - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form 14 Treating Healthcare Practitioner List?
A: The Form 14 Treating Healthcare Practitioner List is a document used in Ohio.

Q: What is the purpose of the Form 14 Treating Healthcare Practitioner List?
A: The purpose of the Form 14 Treating Healthcare Practitioner List is to provide a list of healthcare practitioners who can provide treatment to injured workers.

Q: Who is responsible for completing the Form 14 Treating Healthcare Practitioner List?
A: The employer or their representative is responsible for completing the Form 14 Treating Healthcare Practitioner List.

Q: Do injured workers have a choice in selecting a healthcare practitioner from the Form 14 Treating Healthcare Practitioner List?
A: Yes, injured workers have the right to choose a healthcare practitioner from the Form 14 Treating Healthcare Practitioner List.

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Form Details:

  • The latest edition provided by the Ohio Board of Nursing;
  • 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 Form 14 by clicking the link below or browse more documents and templates provided by the Ohio Board of Nursing.

Download Form 14 Treating Healthcare Practitioner List - Ohio

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  • Form 14 Treating Healthcare Practitioner List - Ohio, Page 1
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