Indiana physician license
HIPAA PERMITS DISCLOSURE OF POLST TO OTHER ... - Indiana
Indiana State Department of Health – IC 16-36-6 INSTRUCTIONS: This form is a physician’s order for scope of treatment based on the patient’s current medical condition and preferences. The POST should be reviewed whenever the patient’s condition changes.
[DOCX File]Public licensing data - Indiana
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The process to use an individual’s license as a proxy for their occupation began with cleaning the PLA database. Many licensing boards that supply data to PLA have their own license status categories, therefore we developed a condensed and standard list of license status values based upon information available from the licensing boards.
[DOC File]“Example” Collaborative Practice Agreement ... - Indiana
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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.
[DOCX File]www.in.gov
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Indiana License Number for RN and Certification for Advanced Practice Nurse (RN/APN/CSR): ... home address, zip codes, telephone numbers and license numbers. for. APN and physician _____ Coverage Clause Included _____ Review Clause Included. 6. For chan. ges in Collaborative Agreements. ... _____ Add Physician to existing Agreement with no ...
[DOC File]HIPAA PERMITS DISCLOSURE OF POLST TO OTHER …
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INDIANA PHYSICIAN ORDERS FOR SCOPE OF TREATMENT (POST) State Form 55317 (6-13) Indiana State Department of Health – IC 16-36-6. INSTRUCTIONS: Follow these orders first. Contact treating physician, advanced practice nurse, or physician assistant for further orders if …
[DOC File]MEDICAL LICENSING BOARD OF INDIANA
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Jan 24, 2008 · Dr. Myers’ previously held Indiana license number 01036899A, which expired June 30, 2003. Dr. Myers’ license in Kentucky is Restricted and he has signed a contract with the Kentucky Impaired Physicians Program. Ms. Baxter testified that …
[DOC File]Office Based Surgery Accreditation
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An Indiana Controlled Substance Registration (CSR) gives physician assistants the authority to prescribe controlled substances in Indiana. In addition, PAs must hold a valid federal Drug Enforcement Agency (DEA) license to legally prescribe controlled substances. You must have a CSR license to obtain, renew and maintain a federal DEA license.
[DOC File]September 19, 2003
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Statement of Need for Indiana Disabled Hoosier Veteran. License Plate. Under Indiana Code 9-18.5-5. ... (Physician License Number) _____ (Physician Office Phone Number) STATE OF INDIANA. DEPARTMENT OF VETERANS’ AFFAIRS. 777 NORTH MERIDIAN STREET SUITE 300. INDIANAPOLIS, INDIANA 46204 ...
[DOCX File]CONTENTS OF APPLICATION PACKET - Indiana
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LICENSE EXPIRATION AND CONTINUING EDUCATION. Mental health counselors licensed in the State of Indiana are required to obtain at least forty (40) hours of continuing education, with at least twenty (20) hours of Category I Continuing Education to include two (2) hours of Category I Ethics Continuing Education, in order to renew their license.
[DOC File]Prescriptive Authority for Physician Assistant’s
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Must I renew the prescriptive authority with my PA license? Prescriptive authority is not a renewable status. Once you are issued prescriptive authority your status will say Physician Assistant-Prescriptive Authority. So you will just need to make sure you renew your PA license in June on the even years.
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