Physician

For questions about renewing your active Physician license, contact us at medbd@dch.ga.gov or at 404-656-3913.

For questions about your pending application for Physician licensure or reinstatement of your lapsed or inactive licensure, contact:

 if your last name begins with the letter:

A to G       Katonya Reynolds at kreynolds@dch.ga.gov / 404-463-6162,
H to O       Paula Tarver at paula.tarver@dch.ga.gov / 404-657-6491, 
P to  Z       Deborah Bruce at dbruce@dch.ga.gov / 404-656-7067

The Application Process

Whether you apply online or by mail, there are certain documents you must send before your application is complete. In order to ensure a smooth application process that is as quick as possible, send these documents to the Board in a single envelope. The packet you send should include your printed application (if you apply online, you can print the application after you submit it). This will help the Board staff associate your paperwork with the application you submitted..

Application and Forms for Initial Geogia Physician Licensure

Initial Georgia Physician License Application
 - Checklist for Initial Physician License Application  
 - Certificate of Postgraduate Training
 - Reference Form
 - Affidavit for Medical Board License
 - Specific Power of Attorney


 

Reinstatement of Georgia Physician License

Institutional Physician License

Volunteer in Medicine License

Physician Teacher License

Educational Training Certificate

 

Specific Application Forms

If you need a specific form for an application instead of an application or bundle of forms, click here: Application Forms

Other Physician Forms and Information

Physician Profile Information and Forms

Inactive Status Application 

Decorative Wall License Certificate (Physician)

Duplicate License Card (Wallet Card)

APRN Prescribing Protocol Forms and Information

Frequently Asked Questions