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Get Attachment 4 - The Tennessee Department Of Health - Health Tn
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How to fill out the ATTACHMENT 4 - The Tennessee Department Of Health - Health Tn online
Filling out the ATTACHMENT 4 form from the Tennessee Department of Health is a critical step for physician assistants seeking to work under the supervision of licensed physicians. This guide will provide you with clear instructions on how to successfully complete this form online.
Follow the steps to complete your ATTACHMENT 4 form accurately.
- Click the ‘Get Form’ button to obtain the form and open it in the designated online platform.
- Begin by entering the applicant’s name at the top of the form. Ensure that the name is written exactly as it appears on official documents.
- In the 'Supervising Physicians' section, you will need to provide details for all supervising physicians. This includes their printed names, addresses, and Tennessee medical license numbers.
- List all practice settings where the supervising physician will oversee the applicant. Label and describe each setting clearly, using separate fields provided for each practice environment.
- Have each supervising physician sign beside their printed name after verifying the information provided. Each signature indicates their acknowledgment and approval.
- Double-check all entries for accuracy, especially names and license numbers, as this information is critical for processing your form.
- Once all fields are filled out and verified, you can either save your progress or finalize the form by downloading and printing it.
- Consider sharing the completed form as needed, or submit it as required by your supervising body.
Complete and submit your ATTACHMENT 4 form online to ensure a smooth application process.
The best way to file a complaint involves gathering all pertinent information and submitting it via the methods outlined in ATTACHMENT 4 - The Tennessee Department Of Health - Health Tn. Providing a detailed account enhances the board's ability to address your concerns effectively. Keep a copy of your submission for your records.
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