Nev. Admin. Code § 633.283

Current through June 11, 2024

Section 633.283 - Physician assistants: Application for license

1. An application for a license as a physician assistant must include, without limitation:

(a)The date and place of birth of the applicant;

(b)The gender of the applicant;

(c)The education of the applicant, including, without limitation, any high school and postsecondary institution attended, the length of time in attendance and whether the applicant is a graduate of those schools and institutions;

(d)The training and experience of the applicant as a physician assistant;

(e)Whether the applicant has ever:

(1)Applied for a license or certificate as a physician assistant in another state and, if so, specification of which state, when the application was made and the results of the application;

(2)Had a license or certificate as a physician assistant revoked, modified, limited or suspended;

(3)Been investigated for misconduct as a physician assistant;

(4)Had any disciplinary action or proceeding instituted against him or her by a licensing body in any jurisdiction;

(5)Been convicted of a felony or an offense involving moral turpitude; or

(6)Been investigated for, charged with or convicted of the use or illegal sale or dispensing of a controlled substance; and

(f)The places of residence of the applicant since the date of his or her graduation from high school or his or her receipt of a high school general equivalency diploma.

2. An application for a license as a physician assistant must be:

(a)Signed by the applicant;

(b)Sworn to before a notary public or other officer authorized to administer oaths; and

(c)Accompanied by:

(1) An official transcript from any postsecondary educational institution or any educational program for physician assistants, as described in paragraph (c) of subsection 1 of NAC 633.281, attended by the applicant;

(2) A notarized copy of the applicant's passport, a certified copy of the applicant's birth certificate, naturalization papers or such other documentation regarding United States citizenship that is satisfactory to the Board or a copy of doc umentation evidencing the lawful entitlement of the applicant to remain and work in the United States that is satisfactory to the Board;

(3) Proof of certification by the National Commission on Certification of Physician Assistant;

(4)An affidavit affirming that:

(I)The applicant is the person named in the application and accompanying material; and

(II)To the best knowledge or belief of the applicant, the application and all accompanying material is complete, correct and consistent, and was obtained without fraud, misrepresentation or mistake; and

(5)The nonrefundable application and initial license fee prescribed in NAC 633.335.

3. If it appears to the Board that:

(a)Any information submitted is false or inconsistent; or

(b)The application is not made in proper form or other deficiencies appear in it, the application will be rejected.

Nev. Admin. Code § 633.283

Added to NAC by Bd. of Osteopathic Med. by R192-07, eff. 12-17-2008; A by R154-09, 10-15-2010; A by R040-13, eff. 3/28/2014

NRS 633.291, 633.433, 633.434