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​Application Forms

 

APPLY ONLINE HERE for the following license types:

Medical Physician and Surgeon
Physician Assistant
Nurse-Midwife
Nurse-Midwife Prescriptive Authority
Respiratory Therapist
Acupuncturist
Physician Acupuncturist
Orthotic Fitter
Prosthetist
Practitioner of Oriental Medicine
Pedorthist
Perfusionist
Orthotist
Athletic Trainer
Genetic Counselor
Behavior Specialist
Physician and Surgeon (MD) - Institutional License
  

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

 

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