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​Application Forms

 

Apply Online for the following license types:

Medical Physician and Surgeon
Physician Assistant
Temporary Physician Assistant
Nurse-Midwife
Nurse-Midwife Prescriptive Authority
Respiratory Therapist
Temporary Respiratory Therapist
Athletic Trainer
Temporary Athletic Trainer 
Acupuncturist
Physician Acupuncturist
Behavior Specialist
Genetic Counselor
Provisional Genetic Counselor
Institutional License
 

To download an application, click on the license type you wish to apply for:

Radiology Examination (PDF) (Examination in Radiology, Nuclear Medicine Techology, and Radiotion Therapy Technology; Limited Examination in Radiography - Thorax and Extremities; and Limited Examination - Skull and Sinuses)