Initial Application Information for Licensure as an Auricular Detoxification Technician

The following forms should be utilized when making application for initial licensure as an Auricular Detoxification Specialist:

To Apply, Click Here: https://gateway.medicalboard.georgia.gov/

Certification of Education Form  (PDF, 157.76 KB)

State Verification Form  (PDF, 127.96 KB)

ADT Certification of Training Form  (PDF, 172.4 KB)

ADT Program and Supervisor Information  (PDF, 178.65 KB)

ADT Employer Liability Insurance Information  (PDF, 188.22 KB)