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  • Wa Doh 656-127 2013

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Delegation Agreement and Standardized Procedures Reference & Guidelines Choose One:  Certified  Non–Certified Certified Physician Assistant: In Washington State a certified physician assistant is an individual who has graduated from an accredited physician assistant program and has passed the initial National Commission on Certification of Physician Assistants (NCCPA) examination. Non-Certified Physician Assistant: In Washington State a non-certified physician assistant is an indi.

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How to fill out the WA DOH 656-127 online

The WA DOH 656-127 form is essential for establishing a physician assistant delegation agreement in Washington State. This guide will provide clear, step-by-step instructions to help you fill out the form efficiently and accurately online.

Follow the steps to complete your WA DOH 656-127 form online.

  1. Press the ‘Get Form’ button to access the WA DOH 656-127 and begin the process.
  2. Select whether you are completing the form as a certified or non-certified physician assistant by marking the corresponding checkbox.
  3. Provide the required information for the physician assistant data section, including their name, license number, NCCPA certification number, and primary business address details.
  4. Fill in the supervising physician's information, including their name, license number, specialty, state, zip code, and contact number, as required.
  5. If applicable, include details for an alternate supervising physician, providing their name, license number, specialty, state, zip code, and contact information.
  6. List the primary business name and address of the physician group. Ensure the contact name, contact phone number, and email address are filled out accurately.
  7. Address the responsibilities section by acknowledging the supervision relationship and clarifying the scope of practice for the physician assistant.
  8. Mark the practice sites where the physician assistant will be working and identify hours spent in each setting.
  9. Describe the general duties and plan for supervision for each practice setting selected, attaching any additional paper as necessary.
  10. If the supervising physician is overseeing more than five physician assistants, provide an explanation for this necessity.
  11. Indicate the designated alternate physician's role when the supervising MD is absent by checking the appropriate box.
  12. List all physician assistants and supervising physicians currently involved in your practice arrangements.
  13. Upon completion, ensure all required signatures and dates are included for the physician assistant, supervising physician, and any alternate physician.
  14. Finally, save your changes, and download, print, or share the completed form as necessary.

Start completing your WA DOH 656-127 form online today for a seamless documentation experience.

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Related content

Physician Assistant Practice Plan and Sandardized...
DOH 656-127 February 2015. Page 1 of 4. Medical Quality Assurance Commission...
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To find your WA PAC code, you can check your previous tax documents relating to your employment or visit the Washington Employment Security Department website. Your PAC code is essential for tax and unemployment insurance reporting. Consider reviewing resources related to WA DOH 656-127 for additional guidance on how to navigate these requirements smoothly.

Acquiring your Washington Employment Security Department number is essential for managing your unemployment benefits. To get this number, visit the Washington Employment Security Department's official website and either log into your account or reach out to their customer support. They can guide you through the process, ensuring you have all necessary information relating to the WA DOH 656-127.

To locate your Washington L&I account number, you can visit the Washington State Department of Labor & Industries website. Your account number typically appears on any correspondence sent to you by L&I, or you can access it by logging into your online account. Keeping your account number accessible helps streamline processes, particularly for those relevant to the WA DOH 656-127.

An ESD number, or Employment Security Department number, is a unique identifier assigned to individuals and businesses by the Washington Employment Security Department. This number is critical for managing unemployment insurance and tax reporting. For further clarity on processes involving the WA DOH 656-127, ensure you keep your ESD number handy when accessing related services.

The journey to becoming a physician assistant in Washington State typically takes about two to three years after completing a bachelor's degree. Candidates must complete an accredited PA program and pass the necessary certification exams. Those interested in this rewarding career should consider the WA DOH 656-127, which outlines specific requirements that will prepare them for success.

Finding your Washington employment security number is straightforward. You can check your unemployment insurance documents or log into your online account on the Washington Employment Security Department's website. If you've misplaced your number, you can contact their office for assistance, ensuring you stay informed about essential processes like those relating to the WA DOH 656-127.

To obtain your Washington Employment Security reference number, begin by visiting the Washington Employment Security Department's website. You can request your reference number through your online account or by contacting their customer service directly. This number is essential for accessing your unemployment benefits and ensures you have everything you need to navigate processes, including the WA DOH 656-127.

A collaborative agreement is a formal arrangement that outlines the relationship between a physician assistant and their supervising physician. This agreement sets the parameters for practice and incorporates guidelines per WA DOH 656-127. It's essential for defining roles while promoting cooperative patient care and enhancing the quality of healthcare services.

The duties of a supervising physician include overseeing the clinical practice of physician assistants and ensuring compliance with state regulations. According to WA DOH 656-127, they also provide guidance and support, allowing physician assistants to develop their skills while ensuring patient safety. This relationship is vital for effective healthcare delivery.

Yes, you can bill for services rendered by a physician assistant under the supervising physician's name. This is common practice and compliant with the provisions laid out in WA DOH 656-127. Proper documentation and adherence to billing guidelines are essential to prevent any issues.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
WA DOH 656-127
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