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License

license requirements & Applications


Doctors of Medicine (MD) and Doctors of Osteopathic Medicine (DO)


The links provided below contain important information on licensure requirements and applications for doctors of medicine (MDs).


Licensure Requirements
Federation Credential Verification Service(FCVS) Application
Application for Certificate for Medical or Osteopathic Medicine

Training Certificate & Application

Specialty Activity Certificate Application

Clinical Research Faculty Application

Volunteer Certificate Application-Ohio
Volunteer Certificate Application-Out-of-state
Request for Restoration Form


Doctors of Podiatric Medicine (DPM)

The links provided below contain important information on licensure requirements and applications for doctors of podiatric medicine (DPMs).

Request for Application
Training Certificate Application
Request for Restoration Form


PHYSICIAN ASSISTANTS (PA)

The links provided below contain important information on licensure requirements and applications for physician assistants (PAs).

Physician Assistant Certificate to Practice (formerly Registration Application)
Physician Assistant Supervision Agreement
Physician Assistant Supervising Agreement Addendum
Alternate Supervising Physician Form
Physician Assistant Supervisory Plan
Special Services Application (formerly Supplemental Physician Assistant Utilization Plan)

MASSAGE THERAPY (MT)

The links provided below contain important information on licensure requirements and applications for massage therapists (MTs).


Revised Instructions and Examination Application for Massage Therapy (First Time Applicants Only)
Request for Restoration Form



COSMETIC THERAPY (CT)

The links provided below contain important information on licensure requirements and applications for cosmetic therapists (CTs).

Information regarding the next Cosmetic Therapy exam, including an application, is not available at this time. Please check back for further updates.

Request for Restoration Form



ACUPUNCTURIST

The links provided below contain important information on licensure requirements and applications for acupuncturists.

Instructions and Application of Registration for Acupuncturists



ANESTHESIOLOGIST ASSISTANTS (AA)

The links provided below contain important information on licensure requirements and applications for anesthesiologist assistants (AAs).

Instructions and Application of Registration for Anesthesiologist Assistants

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30 East Broad Street, 3rd Floor, Columbus, Ohio 43215-6127 | Telephone: (614) 466-3934 | Fax: (614) 728-5946
Complaint Forms: (800) 554-7717 | Licensure Verification: (800) 357-7720