Supervising Physician Affirmation - New York

Supervising Physician Affirmation - New York

Supervising Physician Affirmation is a legal document that was released by the New York State Workers' Compensation Board - a government authority operating within New York.

FAQ

Q: What is a Supervising Physician Affirmation?
A: A Supervising Physician Affirmation is a document required by the state of New York for physicians who are supervising physician assistants or specialist assistants.

Q: Who needs to complete a Supervising Physician Affirmation?
A: Physicians who are supervising physician assistants or specialist assistants in the state of New York need to complete a Supervising Physician Affirmation.

Q: What is the purpose of a Supervising Physician Affirmation?
A: The purpose of a Supervising Physician Affirmation is to ensure that physicians are properly supervising and overseeing the work of physician assistants and specialist assistants in compliance with the law.

Q: Are there any fees associated with submitting a Supervising Physician Affirmation?
A: No, there are no fees associated with submitting a Supervising Physician Affirmation.

Q: Are there any specific requirements for completing a Supervising Physician Affirmation?
A: Yes, there are specific requirements outlined in the form that need to be met in order to properly complete and submit a Supervising Physician Affirmation.

Q: What happens after I submit a Supervising Physician Affirmation?
A: After you submit a Supervising Physician Affirmation, it will be reviewed by the appropriate licensing board or regulatory agency.

Q: Is a Supervising Physician Affirmation valid indefinitely?
A: No, a Supervising Physician Affirmation is not valid indefinitely. It is typically valid for a set period of time, and you will need to renew it periodically.

Q: What are the consequences of not completing a Supervising Physician Affirmation?
A: Failure to complete a Supervising Physician Affirmation or failure to comply with its requirements can result in disciplinary action, including the suspension or revocation of your license.

Q: Can I delegate the responsibility of completing a Supervising Physician Affirmation to someone else?
A: No, the responsibility of completing a Supervising Physician Affirmation cannot be delegated. It must be completed by the supervising physician themselves.

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Form Details:

  • Released on December 1, 2019;
  • The latest edition currently provided by the New York State Workers' Compensation Board;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Supervising Physician Affirmation - New York

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