New York Physician's Application for Renewal of Designation as an Impartial Specialist

• Category: New York Workers Compensation - Official
• State: New York
• Control #: NY-IS-1R-WC
• Format: PDF

Description

Physician's Application for Renewal of Designation as an Impartial Specialist The New York Physician's Application for Renewal of Designation as an Impartial Specialist is an application form issued by the New York State Department of Health to allow physicians to renew their designation as an Impartial Specialist. This application is used by physicians who have completed the Impartial Specialist Training Program and have met the requirements of the New York State Department of Health in regard to their current specialty. The application form can be completed online and is used to provide information about the physician's background, credentials, and qualifications for renewal of designation. The New York Physician's Application for Renewal of Designation as an Impartial Specialist includes three different types of application forms: an Initial Application, an Annual Renewal Application, and a Reinstatement Application. The Initial Application is used by physicians applying for the first time to become an Impartial Specialist. The Annual Renewal Application is used for physicians renewing their designation as an Impartial Specialist, while the Reinstatement Application is used for physicians who are applying for reinstatement after their designation has lapsed. The application form includes sections for the physician's personal information, such as name, address, and contact information, as well as their education and training, qualifications, professional experience, and any additional information requested by the New York State Department of Health. The application also requires the physician to submit proof of continuing education, liability insurance, and a valid license to practice medicine in New York. Upon completion of the form, the physician must submit it to the New York State Department of Health for review and approval.

The New York Physician's Application for Renewal of Designation as an Impartial Specialist is an application form issued by the New York State Department of Health to allow physicians to renew their designation as an Impartial Specialist. This application is used by physicians who have completed the Impartial Specialist Training Program and have met the requirements of the New York State Department of Health in regard to their current specialty. The application form can be completed online and is used to provide information about the physician's background, credentials, and qualifications for renewal of designation. The New York Physician's Application for Renewal of Designation as an Impartial Specialist includes three different types of application forms: an Initial Application, an Annual Renewal Application, and a Reinstatement Application. The Initial Application is used by physicians applying for the first time to become an Impartial Specialist. The Annual Renewal Application is used for physicians renewing their designation as an Impartial Specialist, while the Reinstatement Application is used for physicians who are applying for reinstatement after their designation has lapsed. The application form includes sections for the physician's personal information, such as name, address, and contact information, as well as their education and training, qualifications, professional experience, and any additional information requested by the New York State Department of Health. The application also requires the physician to submit proof of continuing education, liability insurance, and a valid license to practice medicine in New York. Upon completion of the form, the physician must submit it to the New York State Department of Health for review and approval.