Requirements for wisconsin medical license

    • [DOC File]“Example” Collaborative Practice Agreement for Advanced ...

      https://info.5y1.org/requirements-for-wisconsin-medical-license_1_aeb3de.html

      The advanced practice nurse shall make rounds at the request of the licensed practitioner and consult with the license practitioner as needed, etc. How they maintain geographic proximity: The licensed practitioner will maintain a physical presence within a reasonable geographic proximity to the advanced practice nurse’s practice location.

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    • [DOCX File]Medical and Remedial Expenses Checklist

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      ME. WISCONSIN DEPARTMENT OF HEALTH SERVICES. Division of Medicaid Services. F-00295 (01/2018) MEDICAL AND REMEDIAL EXPENSES CHECKLIST FOR MEDICAID LONG-TERM CARE WAIVER PROGRAMS. Name – Member/Participant PURPOSE: This form is used to determine any medical and remedial expenses that can be used to reduce a cost share. A cost share is the monthly …

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    • [DOC File]State Requirements for Criminal Background Checks 11/03

      https://info.5y1.org/requirements-for-wisconsin-medical-license_1_e07165.html

      Beginning January 16, 2008, Licensed Practical Nurses, with a license expiration of May 31, 2009, who have never gone through a criminal history record background check for the New Jersey Division of Consumer Affairs, will begin the background check process.

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    • [DOCX File]AGREEMENT OF APPOINTMENT

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      Documentation of having an allopathic or osteopathic medical degree . For PG1 residents: Wisconsin law requires that applicants who have been accepted into a post-graduate training program acquire and maintain a Resident Educational License (REL) until a permanent license to practice medicine and surgery is granted.

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    • [DOCX File]Medical Examination Review - Wisconsin Department of ...

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      After we've reviewed this report, you may be required to file medical reports periodically. We will send you the forms at the time they are required. Wisconsin Department of Transportation. Medical Review. P.O. Box 7918, Madison, WI 53707-7918. Telephone: (608) 266-2327. FAX: (608) 267-0518. Email: dmvmedical@dot.wi.gov. Applicant Name Driver ...

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    • [DOCX File]Training, Experience and Preceptor Attestation - G, F-45010G

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      For Authorized Medical Physicist. Instructions: Complete all applicable items. Refer to WISREG-1556, Volume 9, “Guidance for Medical Use of Radioactive Material.” Use supplementary sheets where necessary. Retain one copy and submit original of the document to the State of Wisconsin, Department of Health Services, P.O. Box 2659, Madison, WI ...

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    • Training, Experience and Preceptor Attestation - E

      satisfactorily completed the training requirements in s. DHS 157.67(17) AND achieved a level of competency sufficient to function independently as an authorized user of each type of therapeutic medical unit for which the individual is requesting authorized user status. Name of License …

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    • [DOC File]GN-3130: Examining Physician's or Psychologist's Report ...

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      GN-3130, 11/20 Examining Physician’s or Psychologist's Report (Adult Guardianship)§54.36, Wisconsin Statutes . This form shall not be modified. It may be supplemented with additional material. Page 4 of 4. GN-3130, 11/20 Examining Physician’s or Psychologist's Report (Adult Guardianship)§54.36, Wisconsin Statutes . This form shall not be ...

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    • [DOC File]State of WisconsinAmbulance Operational Plan, DPH 7463

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      Date Signed * MEDICAL DIRECTOR CERTIFICATION I certify that I am willing to participate in the above named EMS services' program and fulfill the responsibilities of medical director as described in this plan and to adhere to the requirements of Chapters 110, 111, 112 and/or 113, Wisconsin …

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    • [DOC File]Wisconsin

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      (1) Each physician required to complete the biennial training requirements provided under s. 448.13, Stats., shall, in each second year at the time of making application for a certificate of registration as required under s. 448.07, Stats., sign a statement on the application for registration certifying that the physician has completed at least 30 hours of acceptable continuing medical educational programs …

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