An official website of the State of Georgia government.
Here’s how you know
Local, state, and federal government websites often end in .gov. State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address. Before sharing sensitive or personal information, make sure you’re on an official state website.
Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia.
The following documents are required when applying for initial licensure as a Physician Assistant (including Anesthesia Assistant) in the State of Georgia:
GENERAL INFORMATION & CHECKLIST
Application for Initial Licensure
FORM A - Affidavit of Applicant
FORM A2 - Affidavit of Citizenship Status
FORM B - Request for Additional Duties
FORM C - Anesthesia Reference
FORM D - Primary Care Reference
FORM E - Anesthesia Basic Job Description rev 10/2015
FORM F - Primary Care Basic Job Description rev 1/2019
FORM I - Verification of Other State License
FORM K - Certificate of Education