Get Dl 920

The Dl 920 is an essential form utilized for various purposes related to physician assistants in primary care. This guide provides a comprehensive overview of how to accurately fill out the Dl 920 online, ensuring a smooth submission process for users with varying levels of experience.

Follow the steps to complete the Dl 920 online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the physician’s name and selecting either MD or DO.
3. Indicate the physician’s specialty and mark if they are board certified.
4. In the candidate section, provide the last name, first name, and middle name of the candidate.
5. Evaluate the candidate across various competencies, selecting from above average, average, or below average for each criterion.
6. Detail your professional relationship with the candidate in the provided space.
7. Specify the length of time you have known or worked with the candidate.
8. State whether you have any reservations in recommending the candidate for licensure, and provide explanations if necessary.
9. Indicate if you have reservations or concerns that you would like to discuss with Medical Board staff, along with your preferred contact time.
10. Sign and date the form, and include your address, city, state, zip code, and phone number.
11. Once you have completed all sections, save your changes, and proceed to download, print, or share the form as needed.

Complete the Dl 920 online today to ensure your submission is processed efficiently.