New Grad Physician Assistant: Required Forms and General Information
PLEASE
CLICK HERE FOR SIMPLE CHECKLIST FOR NEW GRAD PA/AA APPLICATION
Here is the method you should submit your application:
Our Egov Portal: New Grad License Application
APPLICATIONS WILL NOT BE REVIEWED WITHOUT APPLICATION FEE OF $300.00
AVAILABLE FORMS TO DOWNLOAD (YOU MAY NOT NEED ALL OF THESE, REFER TO CHECKLIST)
FORM A - Affidavit of Applicant
FORM A2 - Citizenship Affidavit
FORM B - Request for Additional Duties
FORM D - Primary Care Reference
FORM E - Anesthesia Basic Job Description
FORM F - Primary Care Basic Job Description
FORM H - SEPARATION NOTIFICATION
FORM I - Verification of Other State License
FORM J - Specific Power of Attorney