Get Nurse Practitioner Form 2c - Office Of The Professions - New York ... - Op Nysed

Filling out the Nurse Practitioner Form 2C is essential for those who have completed a pharmacotherapeutics course not registered by the New York State Education Department. This guide provides clear, step-by-step instructions to assist you in completing this form accurately and efficiently online.

Follow the steps to successfully complete the Nurse Practitioner Form 2C.

1. Press the ‘Get Form’ button to obtain the Nurse Practitioner Form 2C. This will allow you to access the document in your preferred format for online editing.
2. Begin with Section I, where you will provide your personal information. In item 4, enter your name exactly as it appears on your Application for Certificate (Form 1). Make sure to fill in your Social Security Number and New York State Registered Professional Nurse License Number, if applicable.
3. For item 5, enter your mailing address in the designated fields. Remember to notify the Department of any changes in your address or name promptly.
4. In item 6, list the name under which you completed the pharmacotherapeutics course, if it differs from your given name. Item 7 requires you to specify the name of the school or institution where you completed the course.
5. In item 8, indicate your permission for the educational institution to fill out Section II of the form. Ensure you provide your signature and the date at the bottom of this section.
6. Once you complete Section I, send the entire form to the school or institution for Section II to be filled out. It is crucial that this section is completed by a school official and returned directly to the New York State Education Department.
7. After the institution completes Section II, review the entire form to ensure accuracy. You can then save your changes, download, print, or share the form as necessary.

Complete your Nurse Practitioner Form 2C online today to ensure your application process is seamless and efficient.