Applications, Licensing and Fees

Forms & Information Required for Licensure and Certification in Vermont

All applicants MUST complete BOTH the online application and the forms below. Applications will not be complete without the submission of the forms that must be downloaded from this site.

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For resources and information about the Vermont Prescription Monitoring System (VPMS) click here.

Fees - Applications, Verifications & Reprints
License Type Fee
Verifications: Our website is considered a Primary Source Verification, however some states may require direct verification. All licenses and certifications $50 per verification
Reprints All licenses and certifications $20 per reprint
Submit your request for a Verifications or Reprints in writing. Note where to send the documents and include the payment of cash, check or money order payable to the Vermont Department of Health. Mail to the Vermont Board of Medical Practice, 108 Cherry Street, Burlington, VT 05401    
Applications    
Physician & Podiatrist Initial Application $650
  Reinstatement Application $650
  Renewal Application  $525
Limited Training License Initial and Renewal Application $75
Physician Assistant Initial Application $225
  Renewal Application $215
Anesthesiologist Assistant Initial and Renewal Application $215
  Secondary Site Additional Application $55
  Secondary Site Renewal Application $55
Radiologist Assistant Initial and Renewal Application $120
  Secondary Site Additional Application $55
  Secondary Site Renewal Application $55

 

Physician

You MUST submit these forms in addition to completing the online application. If you are using the FCVS, you do not neet 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.

Continuing Medical Education Rules The requirement is to complete CME during the licensing cycle, December 1, 2016 to November 30, 2018, and report CME as a part of the renewal process for the 2016 to 2018 physician licenses.

Physician Assistants

You MUST submit these forms in addition to completing the online application. If you are using the FCVS, you do not neet 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.

Podiatrists

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

Anesthesiologist Assistants
Radiologist Assistants

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

Malpractice Information

Licensees are required to promptly reports all forms of adverse information such as: discipline by a hospital or other state licensing body, malpractice cases or arrest. If you have been the subject of such action, and you have not yet reported it to the Board, you must do so now.

How must it be reported?

  • Use the  Malpractice Reporting Form (Form A)
  • Use the required online application to list the information by date in response to question 112 or 113, as appropriate, and
  • Submit documentation including the complaint and settlement, release, or other final disposition of the matter

What must be reported?

  • Pending malpractice actions in which you are a named defendant
  • Settlements paid on your behalf
  • Arbitration awards paid on your behalf
  • Judgements entered against you
  • Changes to a matter prevously reported (eg: a matter previously reported as a pending malpractice case has resulted in a judgement, or has been resolved in your favor)

What does NOT need to be reported?

  • Matters that have previously been reported. You need only review the information in your history to verify that it is complete
  • Closed cases for which there was no settlement, arbitration award or judgement. You are not asked to list cases that were dismissed or withdrawn with no findings against you and no payments to the complaining party.
  • Cases that resolved in your favor
  • Cases in which you prevailed or the matter was withdrawn without payment

Please Note: If you previously reported a case when it was pending, you may report it if it was resolved in your favor, but you are not required to do so.

If you have any questions, contact the Board: 802-657-4223.

Renewal Information

Renewals require a completed online application and all required documentation plus payment.

Expiration Dates

Profession Date
Physicians November 30 of Even Years
Podiatrists June 30 of Odd Years
Training Licenses June 30 of Every Year
Physician Assistants January 31 of Even Years
Anesthesiologist Assistants January 31 of Even Years
Radiologist Assistants January 31 of Even Years

Log Into Your Account to Renew Your License or Certification

IMPORTANT: If you currently hold a license or certification in Vermont, you already have an account and do not need to register. If you need your username and password, use the Recover User ID/Password feature. If this does not work email tracy.hayes@vermont.gov.

Step 1: Log into your account.
Step 2: From the ONLINE SERVICES menu in the upper right corner of the screen, choose "CREATE/CONTINUE RENEWAL" to start the application.

  • If you do not see your information pre-populated in the application, you have chosen the incorrect application.
  • Please make sure you have chosen the renewal application.

If you have questions, call 802-657-4223 or email Tracy.Hayes@vermont.gov

How to Check the Status of Your Application

To check the status of your application, log into your account and follow these steps:

1) Choose "APPLICATION STATUS" from the online services menu in the upper right corner of the screen, and

  • This will tell you which items are required to complete your application.
  • Your application will not be processed until ALL information is received by the Board.
  • If the status page is blank, please go back to ONLINE SERVICES and follow Step 2 below.

2) Choose "LOOK UP A LICENSE" from the ONLINE SERVICES menu, enter only your LAST NAME and choose SEARCH.

  • If your credential status says "ACTIVE" then your license should arrive in the mail shortly.
  • If you are in a renewal period and your status says "ACTIVE IN RENEWAL" go to Step 3 below.

3) If you look up your license and it still says "ACTIVE IN RENEWAL" and you have already checked your status

  • From the ONLINE SERVICES menu, choose "CREATE/CONTINUE RENEWAL."
  • Verify your renewal is complete and has been submitted.

If you need your username and password, use the Recover User ID/Password feature. If this does not work, please email tracy.hayes@vermont.gov.