Application Forms

Form A, Certificate of Postgraduate Training

Form B, Reference Form

Form D, Affidavit of Applicant

Form D2, Affidavit of Citizenship

Form E, Malpractice Questionnaire

Form G, Specific Power of Attorney

Form H, Request for Temporary License
(NOTE: Do not use Form H unless your Applications Specialist has told you are eligible)

License History Addendum

Other Physician Application Pages

Initial Physician Licensure

Institutional Physician Licensure

Educational Training Certificate Application Form

Physician Teacher Licensure

Volunteer In Medicine

Inactive Status Application

Physician Reinstatement Application

Physician Wall Certificates

Physician Licensing Rules Chapter 360

Physician Licensing Exams-Information and Links

Federation Credentials Verification Service (FCVS)

Service offered by the Federation of State Medical Boards (FSMB) in the applications process.

Initial Licensure Requirements for US, International & 5th Pathway

Professional Resources