Board of Medical Practice - Licensing and Fees

     

NEW PHYSICIAN APPLICANTS PLEASE NOTE:

All new applications and existing accounts can be accessed through our on-line system.

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Click to access to Board of Medical Practice online licensing system.

Applications

Please note: Applications will not be complete without the submission of additional forms that must be downloaded from this site.  For Physicians and Physician Assistants who are using the FCVS, you do not need to print out the Medical School Verification Form (UA #2) or the Post-Graduate Training Verification Form (UA #3).  That information will be verified and included in the FCVS packet. 

All forms must be mailed to:

    Vermont Board of Medical Practice

    108 Cherry Street

    PO Box 70

    Burlington, VT 05401

For questions related to licensing, please contact our office:

    Tracy Hayes

    tracy.hayes@state.vt.us

    802-657-4223

    Main Line: 802-657-4220

    Fax: 802-657-4227

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Fees

           

Physicians, the initial and reinstatement application fee is $625.
The renewal application fee is $500.

Podiatrists, the initial and reinstatement application fee $625.
The renewal application fee is $500.

   

Limited temporary licensure, the intial and renewal fee is $70.

Physician Assistants the intial and renewal fee is $170.

Anesthesiologist Assistants the initial and renewal fee is $115.

Radiologist Assistants the initial and renewal fee is $115

Verification of licenses and certifications the fee for each verification is $50.

                       

***If you are seeking to request a Verification of your VT medical license or certification, please submit your request in writing to our office indicating where you wish the verification to be mailed, and with a $50 payment (check or cash) payable to the Vermont Board of Medical Practice.***

Reprints of licenses, the fee for each reprint is $20.

***If you are seeking to request a Reprint of a license or certification, please submit your request in writing to our office indicating where you wish the reprint to be mailed, and with a $20 payment (check, cash or money order) payable to the Vermont Board of Medical Practice.***

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Physician

You MUST submit these forms in addition to completing the online application. If you are using the FCVS, you do not need to print out the Medical School Verification Form (UA #2) or the Post-Graduate Training Verification Form (UA #3).  That information will be verified and included in the FCVS packet. 

PLEASE NOTE:

Continuing Medical Education Rules The requirement is to complete CME during the licensing cycle, December 1, 2012 to November 30, 2014, and report CME as a part of the renewal process for the 2014 to 2016 physician licenses.

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Podiatrist

You MUST submit these forms in addition to completing the online application.

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Physician Assistant

You MUST submit these forms in addition to completing the online application.  If you are using the FCVS, you do not need to print out the Medical School Verification Form (UA #2) or the Post-Graduate Training Verification Form (UA #3).  That information will be verified and included in the FCVS packet. 

Important: New Procedures for Physician Assistants

The Board of Medical Practice is working on new procedures relaed to recent statuatory changes.  For physician assistants, one of the most significant is the transition to statewide licensure.  That means the process for a PA who wants to establish an additional practice site will be easier and faster.  

Until further notice, the process for establishing a new practice site will be to simply send a letter to the Board, Attn:  Tracy Hayes, stating:

  1. Your name
  2. The numbers of any still-current Vermont certifications
  3. Your primary practice site
  4. A delegation agreement and physician forms for the primary and, if any, secondary supervising physicians for the additional practice site
  5. Acknowledgement that you are aware of the new section on physician assistant supervision, which may be found online by following this link:      26 V.S.A. § 1735a, or searching the Vermont General Assembly website at http://leg.state.vt.us

The letter and supporting documentation must be filed prior to beginning at the additional practice site. 

For more information please contact the board at 802-657-4223

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Anesthesiologist Assistant

You MUST submit these forms in addition to completing the on-line application process.

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Radiologist Assistant

You MUST submit these forms in addition to completing the on-line application process.

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