Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Medical Professional Resources

Lounge

Forms & Resources

Get Adobe Reader

If you are unable to open the PDF files below, right-click on the "Download" link, select "Save Target", save it to your computer, then "Open" it from your computer.

MD Application Instructions - Instructions for Applying for Licensure/Examination/Reinstatement Updated Sept 2012.
MD INITIAL LICENSE APPLICATION Click on the link to the left to fill out your Application for MD licensure Online. This is for New Licenses and Reinstatements only. This link is for Medical Doctors (MD) Only. If you are applying for a DO license, please contact DO Board at (405) 528-8625.
Evidence of Status Form - New legislation took effect November 1, 2007, requiring the Board of Medical Licensure and Supervision to issue a license only to U.S. citizens, nationals and legal permanent resident aliens; and to applicants who present valid documentary evidence of: A valid, unexpired immigrant or nonimmigrant visa status for admission into the U.S.; A pending or approved application for asylum in the U.S.; Admission into the U.S. in refugee status; A pending or approved application for temporary protected status in the U.S.; Approved deferred action status; or A pending application for adjustment of status to legal permanent residence status or conditional resident status.

Applicants in the above six categories will only be eligible to receive a license card that is valid for the time period of their authorized stay in the U.S., or if there is no date of end to the time period of their authorized stay, for one year. The information will be verified through the Systematic Alien Verification for Entitlements (SAVE) Program, operated by the U.S. Department of Homeland Security.

In order to verify citizenship or qualified alien status, applicants for licensure by endorsement or examination or for reinstatement of their license, must submit an Evidence of Status Form and the required supporting documentation with their application.

Jurisprudence handbook - Updated: November 2014
Photo & Oath Required for MD Application
Form 1 - Graduation Verification
Form 2 - VERIFICATION OF COMPLETED POST-GRADUATE TRAINING
Form 3 - VERIFICATION OF Licensure
Form 4 - VERIFICATION OF CLINICAL CLERKSHIP
Form 5 - VERIFICATION OF CURRENT POST-GRADUATE TRAINING
Extended Background Check (EBC) Consent to Perform Criminal History Background Check in Compliance with the FCRA (Fair Credit Reporting Act)
Application for Modification - submit this form for a Name Change on an existing license along with official documentation (copy of marriage license, divorce decree, etc) and fee.
Sample Letter - Terminating the Doctor/Patient Relationship - updated November 2011
Closing or Relocating the Physician’s Office
Non-ABMS Board Certification Application This request form is for the approval/denial of the applicant to advertise as Board Certified from a specific non-ABMS Board.
APPLICATION FOR SPECIAL VOLUNTEER MEDICAL LICENSE updated May 2013
Volunteer Practice Setting Information-updated May 2013
Volunteer License - Law/Rule
Volunteer License - Instructions - May 2013
ER/LA OPIOD REMS: Achieving Safe Use While Improving Patient Care - Enduring Webinar Activity. Expire on 3-1-2014
2016 Perinatal Hospice Report Effective November 1, 2014, Oklahoma Law, 63 O.S. § 1-746.2, MDs performing abortions are required to fill out this report MONTHLY verifying materials were presented to their patients at least 24 hours prior to the procedure. - please use this link for procedures performed in 2016.
Perinatal Hospice Report Effective November 1, 2014, Oklahoma Law, 63 O.S. § 1-746.2, MDs performing abortions are required to fill out this report MONTHLY verifying materials were presented to their patients at least 24 hours prior to the procedure. Please use this link for procedures performed in 2015
Perinatal Hospice information for Patients
Información Hospicio Perinatal para Paciente (en Espanol) - Spanish Language version of Perinatal Hospice Information for Patients.
Board Secretary Approval Request Form - 12/2014 This form is to request Board Secretary to approve changes to terms as listed in an application agreement and/or probation order for licensees.
Assessment and Treatment Providers - Updated June 2016
POLST - Oklahoma Physician Orders for Life-Sustaining Treatment – This form shall accompany a person when transferred or discharged. Please direct all questions about this form to the Oklahoma Attorney General’s Office at: (405) 521-3921