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Get Ak 08-4226d 2014
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How to fill out the AK 08-4226d online
Filling out the AK 08-4226d form is essential for establishing a collaborative plan between physician assistants and collaborating physicians in Alaska. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to successfully complete the AK 08-4226d online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in the physician assistant's information section, including their full name, address, city, state, zip code, and license number. Ensure all information is accurate and legibly entered.
- Enter the primary collaborating physician's details, including their full name, address, city, state, zip code, and license number. Double-check that the provided information matches their official registration.
- If applicable, complete the alternate physician sections by listing up to two alternate physicians. Input their names, addresses, license numbers, and work phone numbers as required.
- Fill out the specific location of the practice and indicate if the practice is at a remote site. Make sure to specify the distance from the primary physician’s office if it exceeds 30 miles.
- Set the effective date of the plan. Note that the plan must be filed with the board within 14 days of this date.
- If prescriptive authority is being requested, ensure that the corresponding boxes are checked. Be aware of the regulations about the extent of the physician assistant's prescriptive authority.
- Review all entered information for completeness and accuracy. It is crucial to attach required documentation, including the collaborative plan fee and relevant certificates.
- Once completed, save any changes made to the form and prepare to download, print, or share the form as necessary.
Complete your AK 08-4226d form online today for a smooth and efficient process.
A collaborative agreement for nurse practitioners (NPs) is similar to that of PAs but focuses on the relationship between an NP and their supervising physician. This agreement defines their collaborative practice model, including decision-making processes and workflows. In Alaska, understanding how AK 08-4226d applies to both PAs and NPs is crucial for effective practice management.
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