Get Georgia Physical Agent Modalities Board Application Pdf Form

This guide provides step-by-step instructions on how to effectively complete the Georgia Physical Agent Modalities Board Application Pdf Form online. Whether you are familiar with digital forms or just starting, this comprehensive guide will help you navigate each section with ease.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your licensee name, including last, first, middle, and maiden names in the appropriate fields.
3. Fill in your license number, ensuring accuracy to avoid processing issues.
4. Provide the program title and presenter’s name, along with their credentials in the specified sections.
5. Indicate the location of the program along with the actual start and end times for both the program and any breaks, while ensuring total contact hours exclude breaks, meals, or meetings.
6. Enter the total contact hours from the program, verifying that this does not include any breaks.
7. Answer the question regarding whether the program has been pre-approved by the board by selecting 'Yes' or 'No.'
8. Document the program date accurately to maintain a clear record.
9. Complete the outline and description of the program, detailing the content as needed.
10. The instructor or program coordinator must then sign the form, provide their title, verify the attendance, and include their phone number.
11. Finally, save your changes, and download or print the completed form for your records.

Complete your Georgia Physical Agent Modalities Board Application online today!