Applications for Temporary Certificate to Practice in an Area of Critical Need must include a completed application form and appropriate fee as set forth in Florida Statutes § 459.0076, and Fl. Admin. Code R. 64B15-10.002 The instructions and application form, DH-MQA 1249, (Revised 5/22), entitled “”Osteopathic Physician Application For Temporary Certificate for Practice in an Area of Critical Need”” is hereby incorporated by reference, and may be obtained from http://www.flrules.org/Gateway/reference.asp?No=Ref-14612, from the Board of Osteopathic Medicine, 4052 Bald Cypress Way, Bin #C06, Tallahassee, Florida 32399-3256, or from the website at: https://floridasosteopathicmedicine.gov/. Such application and fee shall expire one year from the date on which the application is initially received by the Board. After a period of one year a new application and fee must be submitted.
Rulemaking Authority 456.013, 459.005 FS. Law Implemented 456.013, 456.0135, 456.039, 456.0635, 456.50, 459.0055, 459.0076, 459.0085 FS. History-New 2-28-12, Amended 8-1-13, 3-30-15, 9-11-16, 2-20-17, 10-28-19, 9-15-20, 4-4-21, 9-13-22.