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Health Certification Form
www.dos.ny.govHealth Certification Form . To the Health Care Professional : This form should be used for patients who need to be examined by a physician, physician’s assistant or a nurse practitioner* to apply for a license in the appearance enhancement or barber industry. Please complete the below portion of this form and ... DOS 1948 (Rev. 12/13)
Health Certification Form - New York Department of State
www.dos.ny.govDOS-1948 (Rev. 04/18) Page 1 of 1 ... Health Certification Form To the Health Care Professional: This form should be used for patients who need to be examined by a physician, physician assistant or a nurse practitioner to apply for a license in the appearance enhancement or barber industry. Please complete the below portion of this form and