Get Office Of Allied Health Professionals Nh

Filling out the Office of Allied Health Professionals Nh form online is an essential task for individuals seeking proper supervision documentation. This guide provides a structured, user-friendly approach to ensure all components of the form are completed accurately.

Follow the steps to complete the supervision form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. In the first section, provide the name of the person to be supervised along with their license number. Ensure that this information is printed legibly.
3. Input the residential address and business mailing address of the person being supervised. This includes the street address, city, state, and zip code.
4. Next, complete the section regarding the supervisor's details. Enter the supervisor's name, their profession, and the New Hampshire professional license number.
5. Provide the business mailing address of the supervisor, including the PO box or street address, city, state, zip code, and a phone number.
6. Fill in the site of supervision, which includes the site name and location (street and city/town), as well as the site phone number and mailing address.
7. Record the date supervision started and the date supervision was completed. Ensure these dates are accurate.
8. The supervisor must read and understand the applicable rules of supervision. By signing the form, they acknowledge their responsibilities regarding the supervision.
9. Finally, the supervisor should sign the form, include their profession and license number, and date the signature.
10. If there are any changes in supervisors, the new supervisor should fill out a new supervision form and submit it to the Governing Board.
11. Once all sections are complete, users can save changes, download, print, or share the form as needed.

Complete your supervision form online to ensure proper compliance and documentation.