Reinstatement of Acupuncture License

The following forms are needed when applying for reinstatement of your Acupuncture license:

Here are the two methods you can submit your application and supporting documents:

Our Egov Portal: Reinstatement License Application

Our Email: [email protected]

General Information and Checklist

FORM A - Affidavit of Applicant

FORM B - Authorization and Release of Records

FORM D - Exposure Guidelines

FORM E - NCCAOM Certification

FORM F - State Verification