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.
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.
Form Details:
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.