This is a legal form that was released by the Florida Department of Health - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DH-MQA5002 form?
A: The DH-MQA5002 form is the Osteopathic Physician Application for Temporary Certificate for Active Duty Military and Veterans Practicing in Areas of Critical Need.
Q: Who is eligible to use this form?
A: Active duty military personnel and veterans who are practicing in areas of critical need in Florida are eligible to use this form.
Q: What does this form allow?
A: This form allows active duty military personnel and veterans to apply for a temporary certificate to practice as an osteopathic physician in areas of critical need in Florida.
Q: What is the purpose of this form?
A: The purpose of this form is to provide a streamlined application process for active duty military personnel and veterans to obtain a temporary certificate to practice as an osteopathic physician in areas of critical need in Florida.
Form Details:
Download a fillable version of Form DH-MQA5002 by clicking the link below or browse more documents and templates provided by the Florida Department of Health.