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Search results with tag "Application for limited permit"

Nurse Form 5

Nurse Form 5

www.op.nysed.gov

Application for Limited Permit Applicant Instructions 1. A limited permit authorizes practice as a nurse under the immediate and personal supervision of a New York State licensed, currently registered, registered professional nurse and with the endorsement of the employer. Complete Section I. Be sure to sign and date item 11 on page 2.

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Application for Limited Permit

Application for Limited Permit

www.op.nysed.gov

3. Submit this application and a $70 fee for physical therapist, $50 for physical therapist assistant, to the address at the end of this form. If you have not yet filed an Application for Licensure (Form 1) and a fee of $294 for physical therapist, $103 for physical therapist assistant, you must submit them with this form and the limited permit ...

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