Initial Physician Licensure

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.

Apply Online (Note: You must still send certain forms and documents. Click here to download the forms: Application Checklists and Forms)

To apply by mail, please print and complete the following forms:

Initial Licensure General Information and Checklists

Download this pdf file. Initial Licensure Application

Download this pdf file. FORM A - Certificate of Postgraduate Training

Download this pdf file. FORM B - Reference Form

Download this pdf file. FORM C - State Verification of License

Download this pdf file. FORM D - Affidavit of Applicant

Download this pdf file. FORM D2 - Affidavit of Citizenship

Download this pdf file. FORM E - Mandatory Malpractice Questionnaire

Download this pdf file. FORM G - Specific Power of Attorney

Download this pdf file. FORM H - Request for Temporary License