Pa chiropractic license application

Instructions for Temporary Genetic Counselor applicants. Initial applications for training licenses as an intern, resident, or fellow are now online. If you held a Virginia training license previously, or if you do not have a Social Security number or Department of Motor Vehicles number, you will need to request a paper application from the Board of Medicine at medbd dhp. Click here to begin the online application process. Residency Memorandum Form A.

Certificate of Professional Education Form B. Transfer Request Form. Please use our Application Wizard for guidance on how to apply for a Medicine license. Applications for an initial Medicine license are accepted exclusively through our online system. Instructions for Medicine application by Initial Application. Instructions for Medicine application by Endorsement. Reinstatement application for MD and DO.

Please use our Application Wizard for guidance on how to apply become a licensed as a certified professional midwife. Form A - Claims History. Form C - Jurisdiction Clearance. Reinstatement application for a Certified Professional Midwife license. Application for a Duplicate Wall Certificate.

Name and Address Change Form. Please use our Application Wizard for guidance on how to apply for a license as a Occupational Therapy and Occupational Therapy Assistant. Applications for initial licensure as a Occupational Therapy and Occupational Therapy Assistant are accepted exclusively through our online system. Online application Instructions.

Please use our Application Wizard for guidance on how to apply for a license to practice Osteopathic Medicine. Applications for initial licensure to practice Osteopathic Medicine are accepted exclusively through our online system. Instructions for an Osteopathic Medicine online application by Initial Application.

Instructions for an Osteopathic Medicine online application by Endorsement. Please use our Application Wizard for guidance on how to apply for a license as a Physician Assistant. Frequently Asked Questions and other information for Physician Assistants. Applications for initial licensure as a Physician Assistant are accepted exclusively through our online system.

Online application instructions and forms. Physician Assistant Authorization to Use Fluoroscopy. It is strongly advised, though not required, that the following form be used. You may create your own form; however, the following form does meet the regulatory requirements for documentation. Practice Agreement as a Physician Assistant. Please use our Application Wizard for guidance on how to apply for a licensed to practice Podiatric Medicine. Applications for initial licensure to practice Podiatric Medicine are accepted exclusively through our online system.

Online application instructions. Smith dhp. Please use our Application Wizard for guidance on how to apply for a license as a Polysomnographic Technologist. We may require this if you have lived in another state or if you have a criminal record in Washington State.

This would be at your own expense. You must pay the application fee at the time you apply. Please make sure your address on the payment information screen matches the address your financial institution has on file for you.

This fee is non-refundable. There is a convenience fee to apply online. If you have questions, contact our Customer Service staff at Online application instructions are on our website. The questions will match the name and address you provide with the existing public record information. You may find you have to enter a former address, especially if your address has changed recently within the past one or two years to get the right questions that pertain to your identity.

Once you have completed the process you will receive an email with your pending credential number, or you can look on Provider Credential Search. Refer to this credential number any time you contact Department of Health or submit paperwork. Once you have completed the process you will receive an email with your pending credential number, or you may look on Provider Credential Search.

Do NOT give your personal or financial information over the phone. If you feel that you are a victim of any type of scam, you should immediately notify your local or state police. The State Board of Chiropractic provides for and regulates the licensure of chiropractors in the Commonwealth of Pennsylvania.

Among its other functions, the Board provides for examinations for chiropractic license applicants and certifies qualified licensees to use adjunctive procedures. You are invited to contact a private attorney or professional organization for advice or guidance. Note: This mailbox is reserved for receipt of documentation specific to letters of good standing, exam information, disciplinary documents, transcripts and other education or employment verifications, and any other outside agency or related communications.

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