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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 18. Professional and Occupational Licensing |
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Agency 85. Board of Medicine |
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Chapter 50. Regulations Governing the Practice of Physician Assistants |
Appendix 9998. FORMS (18VAC85-50)
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Instructions and Physician Assistant Licensure Application (rev. 10/09).
Form #B, Activity Questionnaire (rev. 8/07).
Form #C, Clearance from Other State Boards (rev. 8/07).
Form #L, Certificate of Physician Assistant Education (rev. 10/09).
Form #2, Physician Assistant Invasive Procedures Protocol (rev. 8/07).
Instructions and Practice Application as a Physician Assistant (rev. 10/09).
Request for Prescriptive Authority from the PA (rev. 1/11).
Alternate Supervisors Signature Form (rev. 2/09).
Form #1-A, Addendum to Practice of Physician Assistant Duties (rev. 8/07).
Application for Registration for Volunteer Practice (rev. 8/07).
Sponsor Certification for Volunteer Registration (rev. 8/08).
Physician Assistant Volunteer License Application (rev. 12/07).