Orthotist and Prosthetist

The following documents should be completed when applying for initial licensure as an Orthotist, Prosthetist or dual-license in the State of Georgia:

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

• Our EGov Portal: Initial License Application

• Our NextRequest Portal: GCMB Requests PortalNextRequest - Modern FOIA & Public Records Request Software

• General Information and Checklist

• FORM A - Affidavit of Applicant
• Citizenship Affidavit
• FORM B - Reference Form
• FORM C - State Verification
• FORM D - Certification of ABC Examination
• CV/Resume

To apply for reinstatement of your dual license as an Orthotist & Prosthetist, please submit the following

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

• Our Egov Portal: Reinstatement License Application

• Our NextRequest Portal: GCMB Requests PortalNextRequest - Modern FOIA & Public Records Request Software

• Reinstatement Application Checklist and Forms

If you would like to place your license on inactive status, please submit the following:

Application for Inactive Status