Get Private Practice Option Hrsa 338d

Completing the Private Practice Option Hrsa 338d form is an important step for National Health Service Corps applicants and participants. This guide provides clear, detailed instructions to help users navigate the online form effectively.

Follow the steps to fill out the Private Practice Option Hrsa 338d online.

1. Click the ‘Get Form’ button to access the form. This will allow you to open the document in the online editor where you can begin filling it out.
2. Start by entering your NHSC participation status. Select whether you are an applicant, currently serving, or involved in loan repayment.
3. Fill in your full name, the last four digits of your social security number, and your contact phone number, then provide your mailing address.
4. Next, enter the site administrator’s name, email address, and phone number. This person is responsible for verifying your NHSC employment.
5. Provide the NHSC service site address and indicate your practice type by selecting from options such as solo practice or group practice.
6. Review the full-time clinical practice requirements and confirm that you understand the obligations associated with the Private Practice Option.
7. Sign and date the form at the bottom, ensuring that you acknowledge your commitment to full-time clinical practice.
8. After completing all fields, you have options to save your changes, download the form, print it for physical records, or share it as needed.

Complete your Private Practice Option Hrsa 338d form online today to fulfill your NHSC service commitment.