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Applying for a License

License Application Packets and Forms

(includes Fact Sheets with licensure eligibility requirements and history)

Note: PDF's and external links will open in a separate window


IMPORTANT NOTICE:  Discontinuance of Temporary Permits, Effective December 15, 2016


We respectfully request that applicants and interested stakeholders refrain from contacting the Board to confirm receipt of applications and supporting documentation. Please allow approximately four weeks for initial materials to be processed, once an application and fee payment have been submitted to the Board. Written confirmation will be mailed to all applicants identifying any deficiencies in required documentation. Most phone calls will be returned within one to three business days.


Acupuncturists


Athletic Trainer

 

Naturopathic Doctor


Physicians (FCVS may be used for verifications of medical education, postgraduate training, and ECFMG certification)

The following individual forms are included in the packet but can also be downloaded separately:

Certification of Medical Education (PDF)

Facilities List (PDF)

Hospital Privileges Verification (PDF)

Malpractice History Report (PDF)

Physician Recommendation (PDF)

Physician_Verification_of_Licensure (PDF)

Treating Physician Statement (PDF)

Verification of Postgraduate Medical Training (PDF)

Verification of Specialty Board Certification (PDF)

  • Physician Application Option 2 - Uniform Application (aka UA) This application is partially submitted online for the basic core of information that may be shared with other states accepting the UA. Minnesota has a specific addendum addressing our state requirements. The Uniform Application for Physician State Licensure (UA) allows for quick, easy and convenient single and multi-state licensure application. The Federation of State Medical Boards (FSMB) began collecting a one-time $50 physician service charge from all applicants utilizing the benefits of the Uniform Application for Physician State Licensure (UA) on October 27, 2011. See http://www.fsmb.org/ua-faqs.html for details. If you have previously used the UA application, review all fields to ensure information is accurate and updated prior to submission.


See the 2016 Board Meeting Schedule for the application deadlines.


Other Physicians Forms


Physician Assistants


Professional Firms


Respiratory Therapists

 

Traditional Midwives

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