This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 1255?
A: Form 1255 is the Telemedicine Application for Registration in Mississippi.
Q: Who needs to fill out this form?
A: Healthcare professionals who want to provide telemedicine services in Mississippi need to fill out this form.
Q: What is telemedicine?
A: Telemedicine is the practice of providing healthcare services remotely using telecommunications technology.
Q: What information is required on Form 1255?
A: The form requires information such as personal details, professional licensing information, and telemedicine practice information.
Q: Are there any fees associated with the application?
A: Yes, there is an application fee that needs to be paid along with the submission of Form 1255.
Q: How long does it take to process the application?
A: The processing time for the application can vary, but it typically takes several weeks.
Q: Can I start practicing telemedicine before my application is approved?
A: No, you must receive approval from the Mississippi State Board of Medical Licensure before practicing telemedicine in the state.
Form Details:
Download a fillable version of Form 1255 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.