Physician Assistant Character Reference Form - DoH - Washington - doh dc 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the applicant’s name and address in the designated fields at the top of the form. This information is crucial for identifying the individual you are providing a reference for.
3. In the section addressed to the Board of Physician Assistant, confirm your relationship with the applicant by filling in how long you have known them and any relevant details that support your assessment of their character.
4. Provide your remarks regarding the applicant's moral character and professional experience in the 'REMARKS' section. Be specific and honest, as this will greatly influence their licensure application.
5. Finally, print your name, title, and address clearly at the bottom of the form. Don’t forget to sign it before submission.

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