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.
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.
Form Details:
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.