- Application for Physician Assistant
- Request for Official Licensure Verification Form
- Criminal Conviction Disclosure Form
- Duplicate License Application
- Inquiry on Impact of Conviction Form
- Medical Malpractice Prelitigation Claim Form
- Name and Address Change Affidavit
LINKS and OTHER INFORMATION
Physicians and physician assistants may obtain primary source license verifications online through VeriDoc.
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.
- Controlled Substance Schedules – U.S. Drug Enforcement Administration Diversion Control Unit
- Help understanding the Health Insurance Portability and Accountability Act (H.I.P.A.A.).
- NPI Assistance – If you surrender/retire and no longer will be providing health care in any state, please remember to de-activate your NPI. For assistance call 800-465-3203.