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PHYSICIAN & SURGEONS APPLICATION

MEDICAL RESIDENT APPLICATION (Intern and Resident Registration)

INTERVIEW – Information regarding the interview process.

Impact on Criminal Conviction Form

Click to Check Application Status.

$200 application fee must be paid to process the application. License fees due after application is approved.

Per the requirements of the FBI, fingerprint cards can only be mailed to and returned from the applicant’s personal address.

**Processing time for an application is dependent on the Applicant and proper submission of the on-line application with the required documents/documentation.

The application form for physicians and Surgeons requires the following:

  • The current mental and physical condition of the applicant, together with disclosure of any previous physical or mental illness which impacts the applicant’s ability to practice medicine;
  • The disclosure of any past or pending medical malpractice actions against the applicant, and the judgments or settlements, if any, of such claims exceeding $250,000;
  • The disclosure of any disciplinary action by any board of medicine, licensing authority, medical society, professional society, hospital, medical school, or institution staff in any state or country;
  • The disclosure of the refusal to issue or renew a license to practice medicine by any state, Canadian or international licensing authority;
  • Status of service in the U.S. military-active U.S. Military, honorably discharged U.S. Military veteran, or spouse of either one;
  • A certified copy of a full set of the applicant’s fingerprints on forms supplied by the Board which shall be forwarded to the Idaho State Police and to the FBI Identification Division for the purpose of a fingerprint-based criminal history check of the Idaho central criminal database and the Federal Bureau of Investigation criminal history database;
  • Each state, country and jurisdiction in which the applicant has applied for a license to practice medicine;
  • Each state, country and jurisdiction wherein the applicant is licensed to practice medicine; and
  • Such other information or examinations as the Board deems necessary to identify and evaluate the applicant’s credentials and competency.

Residence in Idaho is not required of any applicant; however, each applicant must be legally able to work and live in the United States. Original documentation of lawful presence in the United States must be provided upon request. The Board will refuse licensure or the renewal of a license if the applicant is not lawfully present in the United States.

The Board may refuse licensure if it finds that the applicant has engaged in conduct prohibited by Section 54-1814, Idaho Code. The Board will take into consideration the rehabilitation of the applicant and other mitigating circumstances.

Each applicant shall speak, write, read, understand and be understood in the English language. Evidence of proficiency in the English language must be provided upon request.

Each applicant must have graduated from an acceptable school of medicine, and passed an examination acceptable to the Board that demonstrates qualification for licensure or have successfully completed the United States Medical Licensing Exam (USMLE) and completed one (1) year of postgraduate training approved by the ACGME, AOA or Royal College of Physicians and Surgeons of Canada. Every applicant shall submit a completed written application to the Board with the nonrefundable application fee. Any certificate or document required to be submitted to the Board which is not in the English language must be accompanied by a certified translation into English.

If you have questions, please contact the Division at (208) 327-7000 or HP-Licensing@dopl.idaho.gov.  

Uniform Application for Physicians – Please note that FCVS is not required for Idaho. This link will take you to the website of the Federation of State Medical Boards (FSMB). If you are having problems with the FSMB site, please contact them at (817) 868-4000.

Physician Re-Entry After Absence From Practice– Information on return to practice following clinical inactivity for a “period exceeding one (1) year, or when practice has been significantly interrupted.

In 2003, the Idaho Legislature created the Idaho Rural Physician Incentive Program (RPIP) to encourage primary care physicians to practice in medically under-served areas of the state. The law established the Rural Physician Incentive Fund, which is funded by fees assessed to all Idaho students participating in the WWAMI and University of Utah state supported medical education programs. Eligible physicians can apply to receive a RPIP award for qualified medical education debt repayment. For additional information visit the Idaho Department of Health and Welfare Rural Health Care Access and Physician Incentive Program webpage.

Online Renewal Log-In

NOTE: Due to Apple security restrictions, Licensees will need to make setting changes to complete the renewal process using Safari on an Apple device. Instructions provided after log-in.

Group Voucher: For facilities intending to pay for the renewal of multiple licenses.

Other questions or problems? Email our staff at HP-Licensing@dopl.idaho.gov

Active Military: If you are active military and requesting a renewal fee waiver, please email the Board at HP-Licensing@dopl.idaho.gov

 Please note: If you fail to renew your license before its expiration date a reinstatement fee will be required by Idaho Code 67-2614 and cannot be waived. In addition, you may be required to submit continuing education or other required documentation prior to the reinstatement of your license.

For Interstate Medical Licensure Compact (IMLC) questions and inquiries, please contact Interstate Medical Licensure Compact Commission.

IMLCC Educational Videos

Provider Bridge Supports States’ Emergency Preparedness and Response

Provider Bridge is a free-to-use technology platform that maintains a comprehensive registry of health professionals that can be accessed expeditiously to prepare for and respond to local, regional, or national emergencies.

Joining the Provider Bridge platform allows you to create and own a time-stamped, digital report (“passport”) that includes your name, provider type, professional school, and graduation date, NPI, state license number(s), specialty or area of practice, and DEA registration(s), as well as any disciplinary history. Each license is verified via data sharing with the Federation of State Medical Boards (FSMB), the National Commission on Certification of Physician Assistants (NCCPA), the National Council of State Boards of Nursing (NCSBN), and the American Board of Medical Specialties (ABMS).

Provider Bridge also allows entities, including state medical and nursing boards, hospitals, healthcare institutions, public health offices, and emergency management entities to search for verified medical professionals who are willing to assist in an emergency or deploy to a disaster site. Additionally, entities can verify the credentials of state-based registrants as well as those professionals in other states.

Registration is free at the following link: https://provider.providerbridge.org/.

What to Expect After Registering for Provider Bridge

Once you have registered for Provider Bridge, there are no additional steps you need to take.  You can generate a certified pdf of your passport to present at an emergency site. Healthcare entities can add registrants to their provider list, pull Provider Bridge passports, and contact providers (unless a licensee chooses to opt out of allowing entities to find their profile).  In the event of a national or state emergency, an entity can reach out to providers to determine if they are available and willing to provide health care services.

For more information, go to https://www.providerbridge.org/.

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