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 ( Download this pdf file.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:
Download this pdf file.Initial Physician License Application  .or Online Application PDF copy (if you applied online).  If you are applying for a Telehealth or Administrative license, you must complete the requirements for an unlimited Georgia medical license.

Download this pdf file.FORM A- Certificate of Postgraduate Training
Download this pdf file.FORM B- Reference Form

Download this pdf file.FORM D- Affidavit of Applicant
Download this pdf file.FORM D2- Affidavit for Medical Board License
Download this pdf file.FORM E- Mandatory Malpractice Questionnaire

Download this pdf file.FORM G- Specific Power of Attorney

 

Links to other Physician applications: 

Download this pdf file.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

Download this pdf file.Inactive Status Application

Download this pdf file.Decorative Wall License Certificate (Physician)

Download this pdf file.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: