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 forms are required when applying for reinstatement of your Physician license:
General Information and Checklist
License Reinstatement Application
FORM B1 - Reference
FORM C1 - Other State License Verification(s)
FORM D1 - Affidavit of Applicant
FORM D2 - Affidavit of Citizenship
FORM E1 - Malpractice Questionnaire
FORM G1 - Specific Power of Attorney