The applications package for the Board of Medicine 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

• New License Application [PDF]
• Character Reference Form [PDF]
• Downloadable Physicians Profile Form [PDF]
• Criminal Background Check (Link to the Criminal Background Check page)

Application Information Documents

• Medicine Application Instructions [PDF]
• 2012 USMLE Step 3 Instructions and Application Form [PDF]
• 2012 USMLE Step 3 Fee Form [PDF]
• USMLE Examination Checklist [PDF]
• Examination and Board Action History Report (EBAHR) [PDF]
• Name Change Form [PDF]
• American Medical Association (AMA) Profile Order Form [PDF]
• Waiver of Examination Checklist [PDF]
• Eminence 1/ Eminence 2 Checklist [PDF]
• Disciplinary Inquiries for the Federation [PDF]