Form 1255 Telemedicine Application for Registration - Mississippi

Form 1255 Telemedicine Application for Registration - Mississippi

What Is Form 1255?

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.

FAQ

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.

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Form Details:

  • Released on August 24, 2021;
  • The latest edition provided by the Mississippi Department of Health;
  • 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 Form 1255 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.

Download Form 1255 Telemedicine Application for Registration - Mississippi

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