Physician

For questions about renewing your active Physician license, contact us at medbd@dch.ga.gov or at 404-656-3913.

Initial Physician Licensure

When you apply, your application and the additional documents will be needed to complete your file. In order to ensure a smooth process send these documents to the Board in a single envelope (instructions). 

Once a licensed professional and DEA holder in Georgia, you will be required to register with the Georgia PDMP

Checklist for Initial Physician

Below are the application and forms to complete and should be included in your Initial Physician packet:
Initial Physician License Application or Online Application PDF copy (if you applied online)
FORM A- Certificate of Postgraduate Training
FORM B- Reference Form

FORM D- Affidavit of Applicant
FORM D2- Affidavit for Medical Board License
FORM E- Mandatory Malpractice Questionnaire

FORM G- Specific Power of Attorney

 

Links to other Physician applications: 

Reinstatement of Georgia Physician License

Institutional Physician License

Volunteer in Medicine License

Physician Teacher License

Educational Training Certificate

Other Physician Forms and Information

Physician Profile Information and Forms

Inactive Status Application

Decorative Wall License Certificate (Physician)

Duplicate License Card (Wallet Card)

Frequently Asked Questions

For questions about your pending application for Physician licensure (Initial or Reinstatement), if your last name begins with the alphabetic character: