AK 08-4226d 2014-2026 free printable template
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Physician Assistant Collaborative Plan MED INSTRUCTIONS Received by Division Complete all parts of the plan print legibly or type. 450 d PA s prescriptive authority does not exceed physician s prescriptive authority 12 AAC 40. 450 e May procure controlled substance supplies I do not wish to have any prescriptive authority under this plan. Requirements of Law The physician assistant will work only within the agreed scope of practice with the primary physician. All parties to this plan agree...
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AK 08-4226d is a specific form used for reporting certain information to the relevant authorities in a specific jurisdiction.
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