Get Evaluation And Treatment Protocols - Maryland Board Of Physicians

This guide provides step-by-step instructions on how to complete the Evaluation And Treatment Protocols required by the Maryland Board Of Physicians for athletic trainers. Ensuring that this form is filled out correctly is essential for obtaining board approval and practicing athletic training in Maryland.

Follow the steps to successfully complete your Evaluation And Treatment Protocols online.

1. Click ‘Get Form’ button to access the Evaluation And Treatment Protocols and open it in your editor.
2. Begin by filling out the Athletic Trainer Information section (Sections 1-7). This includes providing your Maryland license number, BOC certification number, personal identifying information, and mailing address.
3. Next, complete the Supervising Physician Information (Sections 8-13), ensuring to provide their Maryland license number, specialties, and contact information.
4. In Section 14, describe the supervision mechanisms that will be employed, selecting all methods of supervision that apply.
5. Section 15 requires you to specify the practice settings of the athletic trainer. Check all applicable settings.
6. Then, complete Section 18, which outlines the basic scope of practice for athletic trainers. Familiarize yourself with each area and ensure your practice adheres to these guidelines.
7. For non-delegated tasks, in Section 19, list any tasks that the supervising physician does not wish the athletic trainer to perform.
8. If there are specialized tasks beyond basic duties, complete Section 20. Clearly describe the tasks along with necessary qualifications and supporting documentation.
9. Section 21 allows for outside referrals from non-supervising physicians, so ensure this section is completed if applicable.
10. After completing all necessary sections, move to the attestation and release statements in Sections 22-24. Both the athletic trainer and supervising physician need to sign these sections.
11. Finally, review all sections for completeness. Ensure all signatures are included. Once satisfied, you can save changes, download, print, or share the completed form.

Complete your Evaluation And Treatment Protocols online to ensure compliance and approval from the Maryland Board Of Physicians.