Knowledge Cafe

This page is designed to provide resource information for links to the Florida Department of Health website relating to Physician Assistant licensure and forms. With just a couple of clicks on the mouse you should be able to link to the state website and download any of the forms needed as a licensed PA in Florida, or as an applicant for a PA license.


  • DOH Homepage for PAs
    If you have questions about PA licensing in the State of Florida, PA rules and state statutes, look here.
  • PA License Application Form
    This one is for initial application for licensure in Florida. If you are not NCCPA certified you will be issued a temporary license until you are certified. If you are already NCCPA certified you will be issued a regular license.
  • Prescribing Privileges Application Form
    This one is for initial application for prescribing privileges in Florida.
  • Change in Prescribing Privileges Form
    This form must be submitted within 30 days of adding or deleting supervising physicians who delegate prescribing privilges to you, or if adding or deleting practice site locations or satellite locations.
  • PA Temporary License Extension Application Form
    This form is for application for extension of a temporary licensure in Florida prior to NCCPA certification.
  • Supervision Data Form
    This form must be submitted within 30 days of changes in supervising physicians, or alternate supervising physicians, or changes in practice location, main office or satellite settings.
  • NCCPA Verification Form
    This form is used to have the NCCPA verify your certification status to the state.
  • License Verification Form
    This form is used to submit to verify your licensure.
  • School Verification Form
    This form is used to verifiy completion of training at an accredited program.
    This page was created on November 21, 2005 and the links above were all correct and working at the time. If you find problems please contact us as soon as possible so that we may correct the problem. The links are to the forms on the official state website so the forms should be the most up to date forms available.

     
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