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Wa doh practice plan 2026
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- Click ‘Get Form’ to open the wa doh practice plan in the editor.
- Begin by selecting whether you are a Certified or Non-Certified Physician Assistant. This is crucial for determining your eligibility and requirements.
- Fill in the Physician Assistant Data section, including your name, license number, NCCPA certification number, and contact information. Ensure all details are accurate for proper identification.
- Next, provide information about your Primary Supervising Physician. Include their name, license number, specialty, and contact details. This establishes the supervisory relationship essential for your practice.
- If applicable, complete the Alternate Supervising Physician Data section with similar details as above. This ensures continuity of supervision.
- In the Practice Site section, mark all relevant settings where you will be practicing. Specify the percentage of time spent at each site to clarify your work distribution.
- Describe your general duties and supervision plan in the designated sections. Be thorough to reflect your responsibilities accurately.
- Finally, ensure that both you and your supervising physician sign and date the document before submission to confirm accuracy and agreement.
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