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

State:
New York
Control #:
NY-IS-1-WC
Format:
PDF
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Description

Physician's Application for Designation as an Impartial Specialist The New York Physician's Application for Designation as an Impartial Specialist is a form used to apply to become a designated Impartial Specialist for the state of New York. This form must be completed and submitted to the Commissioner of the Department of Health in order to be eligible to serve as an Impartial Specialist in the state. The form must include information on the applicant's qualifications, such as educational background, professional licenses, work experience, and relevant certifications. It should also provide details on the scope of the proposed Impartial Specialist's services, including the type of cases they will review, the types of records they will review, the services they will provide, and the proposed fees for their services. The types of New York Physician's Applications for Designation as an Impartial Specialist include applications for general practitioners, specialists, and pediatricians.

The New York Physician's Application for Designation as an Impartial Specialist is a form used to apply to become a designated Impartial Specialist for the state of New York. This form must be completed and submitted to the Commissioner of the Department of Health in order to be eligible to serve as an Impartial Specialist in the state. The form must include information on the applicant's qualifications, such as educational background, professional licenses, work experience, and relevant certifications. It should also provide details on the scope of the proposed Impartial Specialist's services, including the type of cases they will review, the types of records they will review, the services they will provide, and the proposed fees for their services. The types of New York Physician's Applications for Designation as an Impartial Specialist include applications for general practitioners, specialists, and pediatricians.

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