The applications package for the Advisory Committee on Surgical 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. Please follow the instructions and include all forms in the application package in hard copy format.
Specific instructions are provided within each form below.
Application Package Documents
- New License Application [PDF]
- Character Reference Form [PDF]
Application Information Documents
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