REGULATIONS
Vol. 37 Iss. 12 - February 01, 2021

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF HEALTH PROFESSIONS
Chapter 20
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Title of Regulation: 18VAC75-20. Regulations Governing Practitioner Self-Referral).

Agency Contact: Elaine Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Henrico, VA 23233, telephone (804) 367-4688, FAX (804) 527-4434, or email elaine.yeatts@dhp.virginia.gov.

FORMS (18VAC75-20)

Application for an Advisory Opinion - Virginia Self-Referral Act/With Certification (rev. 7/08).

Application for an Exception to the Prohibitions of the Virginia Practitioner Self-Referral Act/With Certification (rev. 7/08).

Practitioner Listing (rev. 7/08).

Application for an Advisory Opinion - Virginia Self-Referral Act (rev. 7/2013).

Application for an Exception to the Prohibitions of the Virginia Practitioner Self-Referral Act (rev. 7/2013).

VA.R. Doc. No. R21-6632; Filed January 05, 2021