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Health Certification Form

Health Certification Form

www.dos.ny.gov

Health 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, Form, Certifications, 1948, Health certification form

Health Certification Form - New York Department of State

Health Certification Form - New York Department of State

www.dos.ny.gov

DOS-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

  Health, York, Form, Department, States, Certifications, New york state department of, 1948, Health certification form

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