July 15, 2025
ThoughtSpan Licensing Gateway & New Online Process for APRN Protocol Agreements
Effective July 7, 2025, GCMB has migrated all licensing and application services to the ThoughtSpan Licensing Gateway. This modern platform replaces our legacy systems and offers a faster, more secure, and user-friendly experience.
- Gateway link: https://gateway.medicalboard.georgia.gov/
- Mandatory registration: All users—regardless of any prior portal accounts—must create a new ThoughtSpan profile. The system will automatically match your existing licenses and pending applications using your demographic details. If you experience issues with this or any other issues, please submit a ticket at https://gcmb.nextrequest.com/ and select the department “ThoughtSpan Licensing Gateway Issues.”
In accordance with Rule 360-32-.03 (Filing of Nurse Protocol Agreement with the Board), APRN protocol agreement applications are now only accessible and submittable online by delegating physicians who:
- Hold an active, full, and unrestricted Georgia medical license, and
- Are registered in the new licensing portal (Gateway).
Important updates to note:
- APRN protocol applications and payments are no longer accepted in person, by mail, by email, or via NextRequest.
- After submission, the delegating physician must pay the required fee online by debit or credit card.
- Delegating physicians also have the ability to terminate existing protocol agreements directly through the portal.
- Any previously submitted APRN protocol agreements that have not yet been approved must be resubmitted through the portal.
- Payments previously sent via certified funds (cashier's checks, money orders) after July 7 will be returned to the sender via certified mail.
Upcoming feature for Advanced Practice Registered Nurses (APRNs):
We plan to provide APRNs participating in a protocol agreement with the ability to create their own Gateway accounts in the near future. Once this feature launches, APRNs will be able to:
- View the protocol agreement,
- Change designated (secondary) physicians, and
- Terminate protocol agreements.
Until this feature goes live, APRNs who wish to terminate a protocol agreement must submit a request to the Board at: https://gcmb.nextrequest.com/
We appreciate your patience and support as we move forward with this transition to a more streamlined, secure, and compliant process.