Get Form Ac1 Adding Alternate Physicians Form For Physician - Medicalboard Georgia

Completing the FORM AC1 for adding alternate physicians is an essential step for physician assistants in Georgia. This guide will take you through the process step by step, ensuring you fill out the form accurately and submit it successfully.

Follow the steps to complete the FORM AC1 effectively.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred online format.
2. Begin by entering the primary sponsoring physician’s name, ensuring to fill in their first, middle (if applicable), and last names clearly.
3. Input the sponsoring physician’s license number in the designated field.
4. Have the sponsoring physician sign the form in the specified area, and include the date they signed it.
5. Next, proceed to the section for adding alternate physicians. For each alternate physician, complete the following fields: their name, license number, signature, and the date they signed.
6. Ensure every line for the alternate physicians is filled out completely. You can add up to eleven alternate physicians on the form.
7. After filling out all necessary information, review the form to verify that all entries are correct and complete.
8. Once you are satisfied with the accuracy of the form, you can save the changes. Additionally, options to download, print, or share the completed document should be utilized as needed.

Complete your documents online today for a smoother experience.