An official website of the State of Georgia.
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 forms are required when applying for reinstatement of your Physician license:
Information and Checklist
B1 - Reference
C1 - Other State License Verification(s)
D1 - Affidavit of Applicant
D2 - Affidavit of Citizenship
E1 - Malpractice Questionnaire
G1 - Specific Power of Attorney