Get Al Application For Registration Of Physician Assistant 2018-2025

The AL Application For Registration Of Physician Assistant is a crucial document for those seeking to register as a physician assistant in Alabama. This guide provides clear, step-by-step instructions to assist users with completing the form online efficiently.

Follow the steps to complete the application accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the section designated for the supervising physician. Enter the supervising physician's full name, Alabama medical license number, and medical specialty. Indicate if the physician is board certified or board eligible, and provide the principal practice location address and contact information.
3. Next, provide the details of the physician assistant, including their full name and Alabama P.A. license number. Address whether the P.A. is currently certified or registered with any other primary certifying physician and detail the primary supervising physician's information if applicable.
4. Outline the core duties and scope of practice for the P.A. Include necessary skills and functions tailored to the P.A.'s qualifications as well as any additional skills that may require documentation.
5. Indicate if the P.A. will practice at remote sites or require prescriptive privileges. Attach necessary supplementary documentation as required, including formulary lists and additional skill requests if applicable.
6. Review all entries for accuracy before moving on. The form must be printed, signed, and submitted via email, fax, or mail to the Board of Medical Examiners.
7. Once the form is complete and verified, users can save changes, download, print, or share the form securely.

Complete the AL Application For Registration Of Physician Assistant online to ensure your registration process goes smoothly.