Genetic Counselor

Instructions for Genetic Counselor License Application

For questions about your pending application for Genetic Counselor licensure or reinstatement of your lapsed or inactive licensure, contact [email protected]

Types of Licenses:

1. Full License

2. Temporary License (for those with active candidate status by ABGC)

CLICK HERE FOR LICENSURE CHECKLIST

Temporary License Requirements:

• Must pass the certification exam within 18 months.
• Must have a genetic supervision contract and be supervised by a licensed genetic counselor or physician.
• Expires 30 days after failing the certification exam.
• Supervisor Agreement

For existing Temporary License Holders:

• Once you are certified, you should complete the Temporary to Full application process (see checklist above).
• Temporary licenses (for individuals who are not yet certified) are renewed annually.
• If there is a change of your supervising genetic counselor or supervising physician, and you remain at the same employer, you must notify the board of this supervision change:
  • Submit the Separation Notice Form and a new Supervisory Agreement Form to [email protected].
• If you change employer while holding a temporary license, you must submit a new Temporary License Application and application fee.
• Supervision Separation Notice
   

From Temporary to Full License

• Genetic Counselor Online Application
   

Application Validity, Fee, and Processing:

• Applications are valid for one year from the date of receipt.
• Applications will not be reviewed without the application fee.
• Include the application fee when submitting your application.
• Within 10 business days, you will receive a status letter identifying any outstanding documentation.
• Submit all required documents promptly.
• Wait 15 business days after submission or until receiving a deficiency letter before contacting staff about your application status.
• The review process follows state law requirements, with no waivers granted by staff.

Board Meetings:

• Completed applications must be received 10 business days before the next scheduled board meeting.
• An application is considered complete when all primary source documentation is received and reviewed, administrative screenings are met, a final quality assurance review is done, and you are notified in writing by the Board.
• The board meets monthly (usually the last week of the month) to review applications.

Internet Disclosure of Genetic Counselor Address

Georgia law requires the Georgia Composite Medical Board to provide an address for each licensed Genetic Counselor upon request. Public-record information is available on the Board’s website.

Given this, carefully consider the address you provide as your address of record. This address will be disclosed to anyone making inquiries and used for mailing licenses, renewal notices, and other official correspondence.

You may choose your home or office address as your address of record. If you list a P.O. Box, you must also provide a secondary street address that will remain confidential. Georgia law requires you to inform the Board of any address changes. Submit changes in writing, including your license number, name, old address, and new address.
 

FULL LICENSE GENETIC COUNSELORS CHECKLIST AND FORMS

This checklist is intended to assist you with the filing of a complete application.  Read all instructions on each page carefully and utilize the checklist as you are filling out the application.  All items listed that apply to your situation must be submitted in order for your qualifications for licensure to be assessed.  When submitting copies of documents, please ensure they are 8-1/2 x11-inch copies of the original. All supporting documentation should be uploaded into online portal when submitting an application.

• Genetic Counselor Online Application

  • All applications should be submitted through the Board's online portal.  Answer all questions honestly and thoroughly.  If an answer requires an explanation or additional supporting documentation (court records, etc.), it can be uploaded via the online portal

• Application Fee

  • Applicants can pay via the online portal with a credit or debit card.

• Affidavit of Applicant

  • Read this form in its entirety and complete all areas.  A current passport photo is required to complete this form.  Do not submit photos from digital reproductions, magazine, yearbook, wedding, birthday, family outing, etc.  Take this form to a notary public for witness of your signature.  The applicant’s signature date and the notary signature date must match.  No whiteouts or strikeouts are accepted.

• Citizenship Affidavit

  • Take this form to a notary public to witness your signature. The dates on both the applicant’s and notary’s signatures must match. No whiteouts or strikeouts are allowed.

    
    For U.S. Citizens: Submit a copy of your U.S. passport, driver’s license, or birth certificate.

    For Non-U.S. Citizens: Provide documentation to verify your qualified alien status. Only applicants with proof will be granted a license. The Board uses the DHS-USCIS SAVE program to verify citizenship and immigration status.

    To confirm your status with SAVE, submit clear copies of one of the verifiable documents listed. Use a high-quality copier and enlarge the copy if necessary. Ensure the following information is legible: Alien Number, Card Number, Document Expiration Date, and SEVIS ID Number. If we cannot read your submission, it will delay your application.
     

• CV / Resume
   

• American Board of Genetic Counseling (ABGC) or the American Board of Medical Genetics (ABMG) Verification

  • Please visit the website to submit a request that your verification be sent to the GCMB.

• Reference Form

  • To evaluate an applicant for practicing as a Genetic Counselor in Georgia, a reference form is required. This form must be completed and signed by the applicant’s current supervisor and emailed directly to the Georgia Composite Medical Board. An original signature is necessary.

    The form should be scanned and emailed from the supervisor’s practice or hospital email address (no personal email accounts like Gmail or Yahoo!). Send it to the email address provided below.

• State Board License Verification  (not required of all applicants)

  • Complete the top portion of this form and send it to each state board in which you are now or have ever been certified or licensed.  The verification must come directly from the state. Original official, certified verifications of license history of all medical licenses you have held or currently hold is required for each permanent, temporary, training, provisional or limited license held, even if you have not worked in that state or in any state in the US or Canadian territory or province, and US federal jurisdiction for 20 years, or you got a license and never practiced in that state.  List the State/Country, dates of licensure, licensed by examination, reciprocity, state board examination.
    
    If an applicant has never held a license before (in any jurisdiction), the State Board License Verification is not required.

• National Practitioner Data Bank Self-Query (not required of all applicants)

  • Congress mandates this data bank to track regulatory Board disciplinary actions and certain peer review and malpractice payments.

    Applicants who have held a license in any jurisdiction (Georgia or other states) must self-query the NPDB as part of the Georgia license application process. Click the link above to start the query. Upload the response with your application packet.

    If you have never held a license before, the NPDB self-query is not required.

• Specific Power of Attorney Form (optional)

  • OPTIONAL.  Applications are confidential by State law. Therefore, the Board requires an applicant’s permission to provide updates to third parties. Inform hospitals, employers, recruiters, referral companies, family members, or insurance companies that application status updates will only be given if a Specific Power of Attorney Form is included with the application packet. This form must be signed and notarized to be accepted by the Board.

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