For questions about renewing your active Physician license, contact us at firstname.lastname@example.org or at 404-656-3913.
Application and Forms for Initial Physician Licensure
When you apply, there are additional documents needed to complete your application. In order to ensure a smooth process send these documents to the Board in a single envelope (instructions). The packet you send should include your printed application (if you apply online, print the PDF application you received).
Checklist for Initial Physician Application
Initial Physician License Application
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
Other Physician Forms and Information
For questions about your pending application for Physician licensure (Initial or Reinstatement), if your last name begins with the alphabetic character: