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Get and Sign Physician Assistant Collaborative Plan  Form 2014-2022

Get and Sign Physician Assistant Collaborative Plan Form 2014-2022

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Site practice (see remote site information below). Mail the completed plan with all attachments to the State Medical Board. PO Box 110806, Juneau AK 99811-0806. ( Keep a complete copy for your practice records.) IT IS YOUR RESPONSIBILITY TO INSURE THAT THIS DOCUMENT IS FILED IN A TIMELY MANNER AND THAT IT IS COMPLETE WHEN FILED. * * INCOMPLETE PLANS WILL BE RETURNED AND NOT PROCESSED ** PHYSICIAN...
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