Get Application For Physician Assistant License - Division Of Professional ...

This guide provides step-by-step instructions on filling out the Application for Physician Assistant License online. By following these detailed directions, you will ensure a smooth application process.

Follow the steps to complete your application effectively

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by selecting the appropriate type of application that applies to your situation, such as if you are applying based on the Physician Assistant National Certifying Examination. Ensure all questions are answered as instructed.
3. Fill out your identifying and contact information accurately, including your full name, any other names used, date of birth, gender, and mailing address.
4. Complete the education, examinations, and certification section by confirming graduation from an AMA-approved PA program and providing the institution's name and graduation date.
5. Indicate whether you have been deemed ineligible to sit for a national certifying examination or if you hold a current PA license in another jurisdiction.
6. Answer all questions in the disclosures section, including inquiries regarding criminal convictions or pending charges. Attach any required signed statements.
7. Complete the section on prescriptive authority if applicable, providing the names and relevant details of supervising physicians.
8. Review the entire application for completion and accuracy. Make sure you have signed the affidavit, included your payment, and attached all required documents.
9. Once everything is confirmed, save your changes, and download a copy of the form. You can then print or share your application as needed.

Get started with your application for a physician assistant license online to ensure a seamless application process.