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Physician Assistants Initial License Application Package

The applications package for the Advisory Committee on Physician Assistants must include all documents listed in the chart below. The Board reviews each application package and determines an applicant's eligibility for a license. There are two different types of forms: online application forms and printable forms. Please follow the instructions for each and include all forms in the application package in hard copy format.

Specific instructions are provided within each form below.

Application Package Documents
 
Application Information Documents
 
Physician Assistant Delegation Forms
 
 
Contact Phone: 
(877) 672-2174
Contact Fax: 
(202) 727-8471
Contact TTY: 
711
Office Hours: 
Monday to Friday 8:15 am to 4:45 pm
Service Location: 

Health, Department of

GIS Address: 
899 North Capitol Street, NE
City: 
Washington
State: 
DC
Zip: 
20002