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| Applications
and Forms |
| Procedures
for Obtaining Certification By Examination as a Direct-Entry
Midwife, #08-4215, Revised 11/29/12. Application for
certification by examination. |
| Procedures
for Obtaining Certification By Credentials as a Direct-Entry
Midwife, #08-4198, Revised 11/29/12. Application for
certification by credentials. |
Application for Obtaining or Renewal of a Permit as a Direct-Entry Midwife Apprentice,
#08-4228, Revised 11/29/12. Permit is valid for two years from the date issued. |
Notification of Addition to Primary Preceptor for Apprentice Permit Holder,
#08-4228c, Revised 11/29/12. |
Application for Direct-Entry Midwife Apprentice Preceptor,
#08-4240, Revised 11/29/12. |
Procedures for Reinstatement of a Lapsed Certificate as a Direct-Entry Midwife,
#08-4590, Revised 11/29/12. |
Emergency
Transport/Incident Report, #08-4551, Revised 09/01/10. |
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Renewal Applications
Biennial Certified Direct-Entry Midwife License Renewal, #08-4256, Revised 11/01/12.
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Applications
may be
viewed and printed
with Adobe
Acrobat
Reader
6.0 or
higher. If you
do
not have
Adobe Acrobat
Reader
6.0 or higher,
please
click
on the
Adobe logo and
download
the free
software
now. If
you
are unable
to view
or download
an application,
please
contact us by
telephone
or e-mail.
Providing
your complete
mailing
address will
enable
us to mail
you the
application.
Other
application
forms
may be mailed
to you
or picked up
at a
division
office.
Completed applications
must
be signed
and submitted
to the
division with
the
appropriate
fees. |
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