Get Oklahoma Medical Board Form

Filling out the Oklahoma Medical Board Form online can be a straightforward process when you know the steps to take. This guide will provide clear instructions for each section, ensuring you complete the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the Oklahoma Medical Board Form and open it in your preferred online editor.
2. In the first section, fill in the date in the format mm/dd/yy to indicate when you are completing the form.
3. Next, input the name of the alternate supervising physician in the designated space, along with their license number and the name of the city and state where they practice.
4. You will then provide the name and license number of the physician assistant who will be supervised, ensuring the correct information is entered into the appropriate fields.
5. The alternate supervising physician must agree to provide supervision and will need to certify that their specialty and scope of practice align with that of the primary supervising physician.
6. All relevant parties, including the alternate supervising physician, primary supervising physician, and physician assistant, must sign in the specified areas to validate the form.
7. If no alternate supervising physician is designated, the physician assistant and primary supervising physician must confirm this by signing the statement provided.
8. Finalize the document by having it notarized, including the notary public's signature and commission number, and ensure you input the date when the notarization occurs.
9. Once all details are completed, you may save changes, download, print, or share the form as necessary.

Complete your Oklahoma Medical Board Form online today for a smooth submission process.