Statement of Sponsoring Physician 2025

Get Form
Statement of Sponsoring Physician Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Statement of Sponsoring Physician with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the Statement of Sponsoring Physician in our editor.
  2. Begin by entering the Registered Nurse Practitioner’s name in the designated field labeled 'RNP:'. Ensure accuracy as this is crucial for identification.
  3. In the statement section, read through the text carefully. This outlines the responsibilities you are accepting as a sponsoring physician.
  4. Sign your name in the 'Signed:' field. This confirms your acceptance of legal and ethical responsibility for the RNP's medical services.
  5. Print your name clearly in the 'Please print name:' section to ensure clarity and proper identification.
  6. Finally, enter the date in the 'Date:' field to complete your submission. Make sure all fields are filled accurately before saving.

Start using our platform today to easily fill out and manage your documents for free!

be ready to get more

Complete this form in 5 minutes or less

Get form
be ready to get more

Complete this form in 5 minutes or less

Get form