Physician

For questions about renewing your active Physician license, contact us at medbd@dch.ga.gov or at 404-656-3913.

For questions about your pending application for Physician licensure (Initial or Reinstatement), if your last name begins with the alphabetic character:

A to D


E to K


L to P


Q to Z

The Application Process

When you apply, there are additional documents needed to complete your application. In order to ensure a smooth process send these documents to the Board in a single envelope (instructions). The packet you send should include your printed application (if you apply online, print the PDF application you received).

Application and Forms for Initial Physician Licensure

Checklist for Initial Physician Application

Initial Physician License Application
FORM A - Certificate of Postgraduate Training
FORM B - Reference Form

FORM D - Affidavit of Applicant
FORM D2 - Affidavit for Medical Board License
FORM E - Mandatory Malpractice Questionnaire

FORM G - Specific Power of Attorney

Reinstatement of Georgia Physician License

Institutional Physician License

Volunteer in Medicine License

Physician Teacher License

Educational Training Certificate

Other Physician Forms and Information

Physician Profile Information and Forms

Inactive Status Application

Decorative Wall License Certificate (Physician)

Duplicate License Card (Wallet Card)

Frequently Asked Questions