Alaska Certification of Being Under Physician's Care

State:
Multi-State
Control #:
US-00431BG
Format:
Word; 
Rich Text
Instant download

Description

This certification, or Doctor's excuse, can be used to notify either the patient's school or employer.

How to fill out Certification Of Being Under Physician's Care?

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FAQ

Phone: (800) 793-7939. E-mail: ua@fsmb.org.

The Medical Board consists of eight members appointed by the Governor: Five licensed physicians residing in as many separate Alaska judicial districts as possible, one physician assistant licensed under AS 08.64. 107, and two persons with no direct financial interest in the health care industry.

If you are using a courier delivery service, the physical delivery address is: 333 Willoughby Ave ? Ninth Floor, Juneau, Alaska.

Contact us by phone, email, or our secure and confidential online complaint portal. BY APPOINTMENT ONLY. Call (907) 269-5290 to make an appointment with our Intake Team.

You may submit the Medical Board Mandated Reporting Form by one of the following methods: Email the form (attach any required documents) to medicalboard@alaska.gov. Mail the form (attach any required documents) to State Medical Board, PO Box 110806, Juneau, AK 99801-0806.

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Alaska Certification of Being Under Physician's Care