Nevada Administrative Code
Chapter 633 - Osteopathic Medicine
PHYSICIAN ASSISTANTS AND SUPERVISING PHYSICIANS
Section 633.283 - Physician assistants: Application for license

Universal Citation: NV Admin Code 633.283

Current through September 16, 2024

1. An application for a license as a physician assistant must include, without limitation:

(a)The date and place of birth of the applicant;

(b)The gender of the applicant;

(c)The education of the applicant, including, without limitation, any high school and postsecondary institution attended, the length of time in attendance and whether the applicant is a graduate of those schools and institutions;

(d)The training and experience of the applicant as a physician assistant;

(e)Whether the applicant has ever:
(1)Applied for a license or certificate as a physician assistant in another state and, if so, specification of which state, when the application was made and the results of the application;

(2)Had a license or certificate as a physician assistant revoked, modified, limited or suspended;

(3)Been investigated for misconduct as a physician assistant;

(4)Had any disciplinary action or proceeding instituted against him or her by a licensing body in any jurisdiction;

(5)Been convicted of a felony or an offense involving moral turpitude; or

(6)Been investigated for, charged with or convicted of the use or illegal sale or dispensing of a controlled substance; and

(f)The places of residence of the applicant since the date of his or her graduation from high school or his or her receipt of a high school general equivalency diploma.

2. An application for a license as a physician assistant must be:

(a)Signed by the applicant;

(b)Sworn to before a notary public or other officer authorized to administer oaths; and

(c)Accompanied by:
(1) An official transcript from any postsecondary educational institution or any educational program for physician assistants, as described in paragraph (c) of subsection 1 of NAC 633.281, attended by the applicant;

(2) A notarized copy of the applicant's passport, a certified copy of the applicant's birth certificate, naturalization papers or such other documentation regarding United States citizenship that is satisfactory to the Board or a copy of doc umentation evidencing the lawful entitlement of the applicant to remain and work in the United States that is satisfactory to the Board;

(3) Proof of certification by the National Commission on Certification of Physician Assistant;

(4)An affidavit affirming that:
(I)The applicant is the person named in the application and accompanying material; and

(II)To the best knowledge or belief of the applicant, the application and all accompanying material is complete, correct and consistent, and was obtained without fraud, misrepresentation or mistake; and

(5)The nonrefundable application and initial license fee prescribed in NAC 633.335.

3. If it appears to the Board that:

(a)Any information submitted is false or inconsistent; or

(b)The application is not made in proper form or other deficiencies appear in it, the application will be rejected.

Added to NAC by Bd. of Osteopathic Med. by R192-07, eff. 12-17-2008; A by R154-09, 10-15-2010; A by R040-13, eff. 3/28/2014

NRS 633.291, 633.433, 633.434

Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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