Physician License Requirements
(Full, Reinstatement, Telemedicine, Administrative, Compact, Temporary, Provisional, Temporary Postgraduate Training Permit, Emergency Practice Permits)
1. Click HERE to submit a Physician License Online Application
-
Submission Guidelines: Use the Board’s online portal for all applications. Ensure all questions are answered fully and truthfully. For any ‘Yes’ responses, provide a detailed account and upload supporting documents (e.g., court records, board actions) through the portal.
-
Click HERE to download the step-by-step walkthrough for assistance with submitting an online application
2. Click HERE for Application Fee Information
-
Payment Instructions: Pay fees through the online portal using a credit/debit card during application submission. Note: Checks and money orders are not accepted. The fee includes two separate charges: the Board’s fee and a 3.15% card processing fee retained by the processor.
3. Click HERE for the Specific Power of Attorney Form
-
Initial Submission: Upload documents directly in the online account during application submission.
-
Post Submission: If the application is already submitted, email documents to [email protected] with the applicant’s full name in the subject line.
-
Optional Authorization Form:
-
Submit if you authorize a third party (e.g., hospitals, employers, recruiters) to assist with your application.
-
Required for the Board to share application details, as applications are confidential by State law.
-
-
Email Attachments:
-
Attach this form in emails from credentialing agents/agencies.
-
Ensure the notary seal is clear on the scanned PDF.
-
-
Third-Party Details:
-
Include the third party’s contact information.
-
The form must be signed by the applicant and notarized.
-
-
Notarization Compliance:
-
The Board accepts notary stamps adhering to the origin jurisdiction’s laws.
-
For instance, Georgia mandates in-person notarization, but remote notarizations from states permitting it, like Virginia, are valid.
-
4. Military Discharge Paperwork (if applicable)
-
For New Applications: Upload the document during online application.
-
For Submitted Applications: Email to [email protected] with the applicant’s name as the subject.
-
Military Applicants Only: Provide a copy of the Report of Separation from Active Duty, not the discharge certificate.
5. CV / Resume
-
For New Applications: Upload documents during the online application process.
-
For Existing Applications: Email to [email protected] with the applicant’s name in the subject line.
-
Details Required: Provide a chronological record of clinical practice, education, employment, and clarify any gaps. Include the date(s) of your last clinical practice.
6. Click HERE for the Affidavit of Applicant
-
Online Submission: Upload the document with your application.
-
Email Submission: If already applied, email to [email protected] with the applicant’s name in the subject.
-
Form Requirements:
-
Complete all sections of the form.
-
Attach a current, color passport photo. Avoid using photos from non-official sources.
-
Ensure the photo and notary seal are clear in the scanned PDF.
-
The applicant and notary’s signature dates must be identical.
-
Do not alter the form with whiteouts or strikeouts.
-
The form must be signed and notarized.
-
-
Notary Compliance:
-
Acceptable notary stamps must adhere to the laws of their origin. Georgia requires in-person notarization, while remote notarizations are valid from states where permitted.
-
7. Click HERE for the Citizenship Affidavit
-
Online: Upload with your application.
-
Email: Send to [email protected] post-submission with the applicant’s name in the subject.
-
Document Requirements:
-
Signatures of the applicant and notary must coincide.
-
No alterations (whiteouts/strikeouts) allowed.
-
Must be signed, notarized, and the notary seal clear on the PDF.
-
-
Notary Acceptance:
-
Notary stamps must follow the laws of their origin. Georgia mandates in-person notarization, but remote notarizations are recognized if legal in the originating state.
-
8. Click HERE for the Citizenship Verifiable Documents List
-
Online: Upload documents with your application.
-
Email: If already applied, email to [email protected] with the applicant’s name in the subject.
-
For U.S. Citizens: Provide a clear copy of your Driver’s License or Passport.
-
For Non-U.S. Citizens:
-
Submit clear copies of alien status documents (e.g., Permanent Resident Card, SEVIS document).
-
Ensure legibility of Alien Number, Card Number, Document Expiration Date, and SEVIS ID Number for SAVE program verification.
-
More info: https://www.fsmb.org/fcvs
-
9. Click HERE for Certification of Postgraduate Training Form
-
Submission: Documents must be sent from the GME program to [email protected] with “residency verification” and the applicant’s name in the subject.
-
FCVS Profile: May be included in the FCVS profile. Confirm with Board after FCVS notification. More info: https://www.fsmb.org/fcvs
-
Seals/Stamps: Must be clear.
-
Training Duration:
-
Board-Approved Schools: Minimum one year of ACGME training.
-
Non-Approved Schools: Three years of ACGME training required. Documentation must verify completion.
-
Policies: Refer to the Board’s policy for medical schools and international graduates: https://medicalboard.georgia.gov/international-medical-graduate-policy-022010
-
10. Click HERE for Official Medical Licensing Examination Score Transcript Information
-
Direct Source: Must be emailed by the examination authority to [email protected] (subject: applicant’s name). This document is NOT accepted from the applicant or credentialing agent/agency.
-
FCVS Profile: Can be part of your FCVS profile. Check with the Board post-FCVS notification. More info:https://www.fsmb.org/fcvs
11. Click HERE for the Reference Form
-
Method: Must be emailed from the physician’s business address to [email protected] with “reference form” and the applicant’s name in the subject.
-
Requirements:
-
Initial Licensure: Three signed and dated references from physicians familiar with your practice for over six months.
-
Reinstatement: Two references are required.
-
Validity: Forms are valid for six months.
-
12. Click HERE for National Practitioner Data Bank Self-Query Information (NPDB)
-
NPDB Self-Query Submission Guide:
-
Submission: Upload with application or email to [email protected] (subject: applicant’s name).
-
FCVS Profile: Include as part of FCVS profile. Confirm with Board after FCVS notification. More info: https://www.fsmb.org/fcvs
-
Mandatory: Required for applicants with prior licensure to track disciplinary actions and malpractice payments.
-
Self-Query: Perform a self-query if previously licensed. Upload the response with your application.
-
Assistance:
-
How to order a self-query: https://www.npdb.hrsa.gov/pract/selfQueryVideo.jsp
-
Interpreting results: https://www.npdb.hrsa.gov/resources/selfQueryResponseGuide.jsp
-
-
Note: If an applicant has never held a full medical license before (in any jurisdiction), the NPDB self-query is NOT required.
13. Click HERE for the Official License Verification(s) Information
-
License Verification Submission Overview:
-
Direct Submission: Must be sent from the licensing board to [email protected] (subject: applicant’s name).
-
Scope: Required for all medical licenses held in any U.S. state, territory, or Canadian province.
-
VeriDoc Participation: Verifications can be provided via VeriDoc. More info: www.veridoc.org
-
Kentucky Licenses: GCMB accepts verifications directly from the applicant if issued by the Kentucky Medical Board.
-
Note: No verification needed if you’ve never held a medical license
Note: Birth Certificates and Driver’s Licenses are not suitable proofs of citizenship status. Incomplete or illegible submissions may delay application processing.
14. Click HERE for the Malpractice Questionnaire Form
-
Malpractice Questionnaire & Documentation Submission:
-
Submit Online: Upload with application or email to [email protected] (subject: applicant’s name).
-
For All Applicants: Complete all sections; mark “None” if no malpractice cases.
-
If Named in a Case: Provide full case details.
-
Signature Required: Sign and date the form; notarization not needed.
-
Multiple Cases: Use a separate form for each case.
-
-
Malpractice Documentation (if applicable):
-
When Required: Only if named in a malpractice case.
-
Document Compilation: Assemble all case documents into one file per case, including:
-
Malpractice Questionnaire Form
-
Personal Narrative
-
Plaintiff’s Complaint
-
Legal Dispositions (e.g., Summary Judgment, Dismissal Order)
-
-
15. Continuing Medical Education (CMEs)(if applicable)
-
How to Submit: Upload with your application or email to [email protected] with your name in the subject lin
-
Applicant Type: Only for reinstatement applicants.
-
File Format: Scan all CME documents into one file; do not upload individually.
-
Hour Limit: Maximum of 50 hours; you’ll be notified if more is needed.
-
Copy Quality: Provide clear 8.5 x 11 copies only.
-
Information Required: Include provider name, program name, hours/CEUs, completion date, and proof of A.M.A. or A.O.A. Category 1 credit.
16. Official Medical School Transcript
-
Submission Source: Must be sent directly from the medical school to [email protected] (applicant’s name in subject).
-
FCVS Profile: Can be part of the FCVS profile. Confirm with Board staff after FCVS release.
-
Seals/Stamps: Must be clear and recognizable.
-
Non-English Transcripts: Include a certified English translation.
17. Click HERE for ECFMG Certification Information (for foreign medical schools)
-
Direct Upload: Include with application or email to [email protected] (subject: applicant’s name).
-
FCVS Profile: May be part of the FCVS profile sent by FSMB. Verify with Board after FCVS notification.