FORMS
- Impact of Criminal Conviction Disclosure Form
- Directing Physician Registration Form & AT Service Plan or Protocol Forms
- Duplicate License Application
- Interstate Mental or Behavioral Telehealth Registration
- Medical Malpractice Prelitigation Claim Form
- Medical Personnel Supervising Physician Registration Form (including Cosmetic & Laser supervision)
- Notice of Termination
- Request Notice of Termination
Resources
Physicians and physician assistants may obtain primary source license verifications online through VeriDoc.
Position Statement – Appropriate Exceptions to Licensure
Position Statement – Home Delivery and Set up of Respiratory Equipment, Supplies and Medications
Position Statement – Regarding Out of State Attorneys
Request a Speaker
If you would like a member of the staff to speak to your organization or civic group please let us know. Include information on how we may contact you, the areas of interest and group/organization name. Click here to send us an email or call us at 208-327-7000.
Accreditation Council for Continuing Medical Education (ACCME)