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                Get Oh Addendum To The Physician Assistant Supervision Agreement Application
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How to fill out the OH Addendum to the Physician Assistant Supervision Agreement Application online
This guide provides a clear and supportive overview for users seeking to complete the OH Addendum to the Physician Assistant Supervision Agreement Application online. By following these steps, users can ensure that the application is filled out accurately and efficiently.
Follow the steps to complete the application form online:
- Press the ‘Get Form’ button to access the application form and open it in your designated document editing area.
- Begin filling out the form by entering the supervising physician's name. This must be done in the designated area, ensuring that the name is printed clearly.
- Input the supervision agreement number for each supervising physician. This number is crucial and can be found by searching on the State Medical Board's website under the licensee profile.
- Have each supervising physician sign the affidavit section of the form, which confirms their agreement to supervise the listed physician assistants.
- Next, the physician assistant should sign the physician assistant affidavit, indicating their understanding of the duties outlined in the supervisory plan.
- If applicable, include the Ohio Certificate to Prescribe number in the designated area.
- Review all entries for accuracy and completeness before proceeding.
- Save the completed form, and if required, download, print, or share it as necessary.
Start filling out your application online today to ensure timely processing.
The most crucial aspect of the relationship between a PA and their physician supervisor is mutual respect. This respect allows both parties to work collaboratively, enhancing patient care and ensuring effective teamwork. For guidance on fostering this relationship, check the OH Addendum to the Physician Assistant Supervision Agreement Application.
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