BOARD OF MEDICINE
On Line Physician Application
Uniform Application (UA) for physicians. The UA is designed to make the physician licensing process more portable among states, convenient and less redundant.
Addendums, Affidavit, and Authorization for Release of Information
Medical Resident Registration
Medical Resident Application
Supervising Physician Forms
Cosmetic & Laser Medical Personnel Supervisor (SPHYC) Forms
Directing Physician Forms
Directing Physician (DPHY) Registration Form & AT Service Plan or Protocol Forms
PLEASE NOTE: Physicians supervising Nurse Practitioners, Physician Assistants, or Medical Residents are not required to register with the Board of Medicine.