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Background on Release of Information to Medical Board of California

State:
California
Control #:
CA-JV-228-INFO
Format:
PDF
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Description

This official form is a background on release of information to Medical Board of California. Background on Release of Information to Medical Board of California is a process by which medical providers or other entities share information with the Medical Board of California. This information is used to support the Board's mission of protecting the public by ensuring that only qualified healthcare providers are licensed to practice medicine in the state of California. There are two types of Background on Release of Information to Medical Board of California: 1. Background Information Release (BIR): This type of release allows the Medical Board to obtain information from other organizations such as hospitals, clinics, and medical schools. The BIR form is used to request information such as academic records, malpractice claims, and disciplinary actions. 2. Professional Evaluation Program (PEP): The PEP is a program that allows the Medical Board to obtain information from healthcare providers about their professional activities. This information includes the provider's practice history, educational background, and any disciplinary actions taken against them. PEP forms are used to request information from healthcare providers.

Background on Release of Information to Medical Board of California is a process by which medical providers or other entities share information with the Medical Board of California. This information is used to support the Board's mission of protecting the public by ensuring that only qualified healthcare providers are licensed to practice medicine in the state of California. There are two types of Background on Release of Information to Medical Board of California: 1. Background Information Release (BIR): This type of release allows the Medical Board to obtain information from other organizations such as hospitals, clinics, and medical schools. The BIR form is used to request information such as academic records, malpractice claims, and disciplinary actions. 2. Professional Evaluation Program (PEP): The PEP is a program that allows the Medical Board to obtain information from healthcare providers about their professional activities. This information includes the provider's practice history, educational background, and any disciplinary actions taken against them. PEP forms are used to request information from healthcare providers.

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Background on Release of Information to Medical Board of California