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https://online.documentine.com/edd-de-2525xx-form-printable/1/supplemental-certificate-to-application-for.html SUPPLEMENTAL CERTIFICATE TO APPLICATION FOR REGISTRATION AS A PHYSICIAN ASSISTANT To: (Name and Address of Hospital or Corporate Employer) The State Board of Medical Examiners has been presented with an application from for certification as a physician assistant to
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Certified educators may choose supplemental certification if they plan to take an assignment in a new content area, have your physician/practitioner complete and submit the , and Continued Medical.Show All will not sign the Physician/Practitioner’s Supplementary Certificate (DE 2525XX).You must return this form to the EDD to certify that your disability continues