The Official Portal for the State of Georgia

RCP Reinstatement Forms

Reinstatement - Check List

Reinstatement - General Information

Reinstatement - Application

Reinstatement - Form B1 - Reference

Reinstatement - Form B11 - Prospective Employer

Reinstatement - Form C1 - License Verification

Reinstatement - Form D - NBRC Verification Request

Reinstatement - Form E - Change of Medical Director

Reinstatement - Form F - Affidavit of Applicant