Respiratory Therapy Form 5CS Certification of Supervisor for Limited Permit - New York

Respiratory Therapy Form 5CS Certification of Supervisor for Limited Permit - New York

What Is Respiratory Therapy Form 5CS?

This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Respiratory Therapy Form 5CS?
A: The Respiratory Therapy Form 5CS is a certification of supervisor for limited permit application in New York.

Q: Who can certify the supervisor on the form?
A: The supervisor must be certified by a Licensed Respiratory Therapist, Physician, or Physician Assistant.

Q: What is the purpose of the limited permit?
A: The limited permit allows individuals to practice respiratory therapy under the supervision of a licensed professional while they complete their education or certification requirements.

Q: What information is required on the form?
A: The form requires information about the supervisor, the applicant, and their respective credentials.

Q: How long is the limited permit valid for?
A: The limited permit is valid for one year and may be renewed up to two additional times, for a total of three years.

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Form Details:

  • Released on December 1, 2021;
  • The latest edition provided by the New York State Education Department;
  • 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 fillable version of Respiratory Therapy Form 5CS by clicking the link below or browse more documents and templates provided by the New York State Education Department.

Download Respiratory Therapy Form 5CS Certification of Supervisor for Limited Permit - New York

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