Registration Form for the Holder of License or Limited License to Practice Outside Scope of Practice - Nevada

Registration Form for the Holder of License or Limited License to Practice Outside Scope of Practice - Nevada

Registration Form for the Holder of License or Limited License to Practice Outside Scope of Practice is a legal document that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada.

FAQ

Q: What is the registration form for?
A: The form is for the holder of a license or limited license to practice outside their scope of practice in Nevada.

Q: Who can use this form?
A: This form can be used by individuals who hold a license or limited license in Nevada.

Q: What is the purpose of this form?
A: The purpose is to register and obtain authorization to practice outside the scope of their license in Nevada.

Q: What information is required on the form?
A: The form requires personal information, license details, and a description of the proposed practice outside the scope of license.

Q: Is there a fee for submitting this form?
A: Yes, there is a fee associated with submitting this form.

Q: How should I submit the form?
A: The form can be submitted by mail or in person to the Nevada State Board of Medical Examiners.

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Form Details:

  • Released on July 1, 2021;
  • The latest edition currently provided by the Nevada Department of Health and Human Services;
  • 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 Nevada Department of Health and Human Services.

Download Registration Form for the Holder of License or Limited License to Practice Outside Scope of Practice - Nevada

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