Volunteer-In-Medicine Physician License

The following forms must be completed when applying for licensure as a Physician Volunteer in Medicine:

Download this pdf file. General Information and Checklist

Volunteer-In-Medicine (Physician) Application

Download this pdf file. FORM A - Affidavit of Applicant

Download this pdf file. FORM B - State Verification

Download this pdf file. FORM C - Verification of Employment