Initial Licensure for Acupuncture

To apply for an initial license as an Acupuncturist, please complete the following:

Here are the two methods you can submit your application and supporting documents:

Our Egov Portal: Initial License Application

Our Email: [email protected]

Download this pdf file. General Information and Checklist

Download this pdf file. FORM A - Affidavit of Applicant

Download this pdf file. FORM C - Certification of Education

Download this pdf file. FORM D - Exposure Control/Infectious Disease Prevention

Download this pdf file. FORM E - National Certification

Download this pdf file. FORM F - State Verification Form