Alabama Administrative Code Chapter 746-X-A — Appendix A - Forms (Repealed 9/8/11)

746 Alabama State Board of Prosthetists and Orthotist

Ala. Admin. Code r. 746-X-A-1 Forms

Memo Overview Licensure Provisions Requirements Application Checklist General Application For Licensure Fee Professional Reference Form Attestation Of Experience Providing Comprehensive Orthotic Care Attestation Of Experience Providing Comprehensive Prosthetic Care Registration For An Orthotic Supplier Orthotic Supplies Attestation Of Employment By Or Contractual Relationship 2005 Renewal Application for Orthotists, Prosthetists, Orthotists/Prosthetists, Orthotic Suppliers, Assistants And Accredited Facilities

History

• Amended (Forms Updated): Filed January 19, 2005. Updated forms appeared in the March 31, 2005 Supplement. Repealed: Filed August 4, 2011; effective September 8, 2011.