TRANSITION-TO-PRACTICE WORKSHEET
Track the rule you actually verified.
This is a temporary planning worksheet, not a board eligibility determination. Record hours, calendar time and application evidence for a state requirement, then export a copy before you leave. No state-specific requirement is prefilled here.
01 / SOURCE
What requirement applies to you?
These entries are yours; the site has not verified the rule you enter.
02 / PROGRESS
Hours and time are separate tests.
Hours remainingEnter the verified requirement
Calendar milestoneNeeds a start date and duration
A calculated date is not an eligibility decision. The board may define qualifying hours, settings, supervision and attestations separately.
03 / APPLICATION
What proof does the board require?
This worksheet stays on this page only and clears on refresh. Download a copy before leaving if you need to keep it. Do not enter patient or other private records.