Medical Professional Resources
Prescription Monitoring Program – Verify patients' prescription drug history before prescribing new drugs.
VeriDoc
Service
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to send Verification of your medical license (M.D.) and Physician Assistant
license (P.A.) to another state medical board.
VeriDoc Website:
https://www.veridoc.org/
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Frequently asked questions about licensing
Forms & Resources
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.
| Download | 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. |
| Download | Medical Doctor Application Form revised January 2010. This is a Fill-In Form. This form is for Medical Doctors (MD) Only. If you are applying for a DO license, please contact DO Board at (405) 528-8625. |
| Download | Credit Card Payment Form - Complete and submit this form along with your paperwork for the correct fee amount. |
| Download | Jurisprudence handbook - Updated: October 2011 |
| Download | Form 1 - Graduation Verification |
| Download | Form 2 - VERIFICATION OF COMPLETED POST-GRADUATE TRAINING |
| Download | Form 3 - VERIFICATION OF Licensure |
| Download | Form 4 - VERIFICATION OF CLINICAL CLERKSHIP |
| Download | Form 5 - VERIFICATION OF CURRENT POST-GRADUATE TRAINING |
| Link | Extended Background Check (EBC) Consent to Perform Criminal History Background Check in Compliance with the FCRA (Fair Credit Reporting Act) |
| Download | Sample Letter - Terminating the Doctor/Patient Relationship - updated November 2011 |
| Download | Closing or Relocating the Physician’s Office |
| Download | 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. |
