License Applications - Board of Medical Practice
*All documents in pdf format
- For other application forms, please e-mail your request to: medicalboard@vdh.state.vt.us
Fees (Current and Future)
Important :
Certain fees will be increasing this July!
For physicians, the initial and reinstatement application fee will go up to
$625. The renewal application fee will conitnue to be $500.
For podiatrists, the initial and reinstatement application fee will increase to
$625. The renewal application fee will conitnue to be $500.
For both verification of licenses and certifications the verification fee will
increase to $50.
If you have any questions, please do not hesitate to call the office at
(802) 657-4220.
Physician
- Initial License Application for Physicians
- Initial Application for Limited Temporary Physician License
Podiatrist
Physician Assistant
Anesthesiologist Assistant
Prescriber Data-Sharing Program
18 VSA Section 4631 (c)(1) requires the Department of Health and the Office of Professional Regulation (OPR), in consultation with the appropriate licensing boards, to establish a prescriber data-sharing program to allow a prescriber to give consent for his or her identifying information to be used for the purposes described at 18 VSA Section 4631 (d). 18 VSA Section 4631 (c)(2) further requires the Health Department or OPR to make available the list of prescribers who have consented to sharing their information. The list of prescribers provided at this website includes the list provided by OPR to the Health Department.