Application Instructions for Physician Assistant License

The Physician Assistant Board will expedite the licensing process with the required documentation for:

  • Active Duty Military
  • Military Veteran Honorably Discharged
  • Active Duty Military Spouses or Partner

For information on this process, please click here.

PLEASE REVIEW THE INFORMATION ON THE APPLICATION AND GENERAL INSTRUCTION PAGES CAREFULLY PRIOR TO COMPLETING THE APPLICATION FORMS AND REQUESTING SUPPORTING DOCUMENTS. PLEASE ALLOW THE BOARD 30 DAYS TO PERFORM AN INITIAL REVIEW BEFORE CONTACTING THE BOARD FOR AN UPDATE ON AN APPLICATION STATUS.

All items listed, that are applicable to you, must be submitted by mail in order for your application to be assessed.

As an applicant, you are personally responsible for all information disclosed on your application, including any responses that may have been completed on your behalf by others. An application may be denied based upon falsification or misrepresentation of any item or response on the application or any attachment.

Applications will be returned if the Personal Information section is incomplete or if the appropriate licensing fees are not included.

Click on the icon below to fill in and print the initial application.

Application for Initial PA Licensure