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Get OH Physician Assistant Alternate Supervising Physician Application 2007-2024

Columbus, Ohio 43215 ALTERNATE SUPERVISING PHYSICIAN APPLICATION INSTRUCTIONS This application is to be completed by a physician(s) who will act as an alternate supervising physician during periods in which the supervising physician will be unable to provide supervision in accordance with Section 4730.21, Ohio Revised Code. There is no fee for this application. ALTERNATE SUPERVISING PHYSICIAN AFFADAVIT I (we) have carefully and fully reviewed the Physician Supervisory Plan as approved by the.

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