Applications, Licensing, and Fees

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.

• MD Initial Application Forms
• MD Training License
• MD Reinstatement Forms
• MD Pro Bono License - Free or Reduced Clinic
• MD Pro Bono License - Medical Reserve Corps
• MD Limited Temporary License Renewal Forms

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.

• PA Initial Application Forms 
• PA CME Board Rule Requirements
• PA Notification of Termination with Participating Physician Form 
• Malpractice Reporting Form (Form A)
• Excerpt of Proposed Rules for Physician Assistants (10/27/2021)

Act 123 of 2020 Updates Laws Regarding Physician Assistant Practice Agreements: Pending issuance of rules, the new law makes significant changes to the requirements for physician assistant supervision and the documentation that must be filed with the Board.

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

• DPM Initial License
• DPM Training License
• DPM Limited Temporary Podiatrist Renewal Forms

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

• AA Initial Certification Form
• AA Secondary Site Forms
• AA Renewal Forms

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

• RA Initial Certification Forms
• RA Secondary Site Forms
• RA Renewal Forms

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
• 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.

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

Expiration Dates

Log Into Your Account to Renew Your License or Certification

Please Note: 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 [email protected].

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 [email protected]

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

• 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, continue to Step 3.

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.

Please Note: If you need your username and password, use the Recover User ID/Password feature. If this does not work, please email [email protected].