Genetic Counselor

• Eligibility: ABGC‑certified (or equivalent)
• Checklist Items: ABGC verification, CV, citizenship affidavit, NPDB self‑query, etc.
• Renewal: Every 2 years via eGov portal; opens 60 days before expiration.
  • CEU attestation required
  • Citizenship affidavit only if not a U.S. citizen
  • No renewal notices sent—check your status at Verify Licensee after submission

• Eligibility: ABGC active candidate status + supervision contract
• Duration & Renewal: Annual; convert to Full when certified
• Supervision Changes:
  • Same employer: Upload Supervision Separation Notice + new Supervisor Agreement via NextRequest
  • New employer: Submit a new Temporary License application + fee

• Eligibility: Lapsed or inactive license holders
• Fee: $400
• Forms & Docs:
  • Affidavit of Applicant
  • Citizenship Affidavit
  • ABGC Verification (Form 1)
  • 30 CME hours
  • NPDB report
  • References

Use the Board’s eGov portal to complete and submit your application. Answer every question honestly and thoroughly. If any response requires supporting documentation, please submit them to:

https://gcmb.nextrequest.com/

Some examples of forms/supporting documents that would need to be submitted to NextRequest are:

• Form 1
• Form 2
• Education Information
• Form 5-Reference Form

Applicants can pay via the online portal with a credit or debit card.

Download and print the  Affidavit of Applicant . Attach a current passport‑style photo, sign in the presence of a notary, and ensure the applicant and notary dates match. No white‑outs or strike‑outs are accepted. Upload the completed, notarized form in the portal.

Affidavit of Applicant

Download the  Citizenship Affidavit and sign before a notary (matching dates required).

• U.S. citizens: upload a copy of your passport, driver’s license, or birth certificate.
• Non‑U.S. citizens: upload qualifying immigration documentation. The Board verifies status through DHS‑USCIS SAVE; illegible copies will delay your application.

Citizenship Affidavit

Upload a current, detailed CV or résumé highlighting your education, work history, and any publications or presentations.

Through ABGC (https://www.abgc.net/RESOURCES/Credential-Verification), request verification of certification. A certification certificate will not suffice. Please visit the ABGC (or ABMG) website to submit a request that your verification of Certification (or Active Candidate Status for temporary license applicants) be sent to the GCMB (via GCMB Requests Portal NextRequest - Modern FOIA & Public Records Request Software).

Download the  Supervisor Agreement , complete all fields with your supervising licensed genetic counselor or physician, and upload the signed form.

Supervisor Agreement

This is only required if you have ever held a healthcare license before (in any jurisdiction other than GA). This verification must come directly from the state (submitted to GCMB Requests Portal NextRequest - Modern FOIA & Public Records Request Software) or from VeriDoc (https://veridoc.org/) if applicable.

Original official, certified verifications of license history of all medical licenses you have held or currently hold is required for each permanent, temporary, training, provisional or limited license held, even if you have not worked in that state or in any state in the US or Canadian territory or province, and US federal jurisdiction for 20 years, or you got a license and never practiced in that state.  List the State/Country, dates of licensure, licensed by examination, reciprocity, state board examination.

If an applicant has never held a license before (in any jurisdiction), the State Board License Verification is not required.

Congress mandates this data bank to track regulatory Board disciplinary actions and certain peer review and malpractice payments.

All temporary and full licensure applications should include NPDB Self-Query. (https://www.npdb.hrsa.gov/ext/selfquery/SQHome.jsp).
Temporary to full license applications should include NPDB only if the applicant holds or has held a healthcare license in any jurisdiction other than Georgia.

Applicants who have held a license in any jurisdiction (Georgia or other states) must self-query the NPDB as part of the Georgia license application process. Click the link above to start the query. Upload the response with your application packet.

If you have never held a license before, the NPDB self-query is not required.

If you want GCMB to share application status updates with a third party, download the  Specific Power of Attorney . Sign before a notary and upload the form. No inquiries from third parties will be answered without this POA.

Specific Power of Attorney

To place an existing Genetic Counselor license on inactive status, download and complete the  Inactive Status Request Form  (PDF), then upload it through the portal.

Inactive Status Request Form

Ask a professional supervisor or colleague to complete the  Reference Form and email it directly from their institutional address to GCMB via the NextRequest portal. Submissions from personal email accounts will not be accepted.

Reference Form