Form F-01149 Request for Waiver of Physical Therapist Assistant and Occupational Therapy Assistant Supervision Requirements - Wisconsin

Form F-01149 Request for Waiver of Physical Therapist Assistant and Occupational Therapy Assistant Supervision Requirements - Wisconsin

What Is Form F-01149?

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

FAQ

Q: What is Form F-01149?
A: Form F-01149 is a request for waiver of physical therapist assistant and occupational therapy assistant supervision requirements in Wisconsin.

Q: Who can use Form F-01149?
A: Physical Therapist Assistants and Occupational Therapy Assistants in Wisconsin can use Form F-01149.

Q: What is the purpose of Form F-01149?
A: The purpose of Form F-01149 is to request a waiver of supervision requirements for physical therapist assistants and occupational therapy assistants in Wisconsin.

Q: What information is required on Form F-01149?
A: Form F-01149 requires information about the requesting physical therapist assistant or occupational therapy assistant, the supervising physical therapist or occupational therapist, and the reason for the waiver request.

Q: What are the supervision requirements for physical therapist assistants and occupational therapy assistants in Wisconsin?
A: In Wisconsin, physical therapist assistants and occupational therapy assistants are required to be supervised by a licensed physical therapist or occupational therapist.

Q: Under what circumstances can a waiver of supervision requirements be granted?
A: A waiver of supervision requirements can be granted if the requesting physical therapist assistant or occupational therapy assistant can demonstrate that they have sufficient skills, education, and experience to practice without direct supervision.

Q: How long does it take to process a request for waiver of supervision requirements?
A: The processing time for a request for waiver of supervision requirements can vary. It is recommended to submit the form well in advance of the desired effective date of the waiver.

Q: Can a waiver of supervision requirements be revoked?
A: Yes, a waiver of supervision requirements can be revoked if the physical therapist assistant or occupational therapy assistant fails to comply with the conditions of the waiver or if there are concerns about patient safety.

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Form Details:

  • Released on July 1, 2012;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • 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 F-01149 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-01149 Request for Waiver of Physical Therapist Assistant and Occupational Therapy Assistant Supervision Requirements - Wisconsin

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