The following forms must be completed and submitted with your payment to apply for an initial license as a Physician in the State of Georgia. Please note: your application will not be processed without payment of appropriate fees have been submitted and is not deemed to be "complete" until all documents have been received. You may also apply for your license online, here: Complete Application Onlline
To apply by mail, please print and complete the following forms:
Initial Licensure General Information and Checklist
FORM A - Certificate of Postgraduate Training
FORM C - State Verification of License
FORM D - Affidavit of Applicant
FORM D2 - Affidavit of Citizenship
FORM E - Mandatory Malpractice Questionnaire
FORM F - Internationally Trained Physicians ONLY
FORM G - Specific Power of Attorney
FORM H - Request for Temporary License